STONE BELT ARC, INC.
NPI 1093876195
Intermediate Care Facility, Intellectual Disabilities in Bloomington, IN
- Organization
- Intermediate Care Facility, Intellectual...
- CLIA Number: 15D0999167
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 01-07-2027
About STONE BELT ARC, INC.
This page provides the complete NPI Profile along with additional information for Stone Belt Arc, Inc., a provider established in Bloomington, Indiana operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1093876195 assigned on December 2006. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Elizabeth Dewees (Ceo)
- NPI
- 1093876195 Verify this NPI
- Provider Name
- STONE BELT ARC, INC.
- Entity Type
- Organization
- Location Address
- 4700 N HITE DR BLOOMINGTON, IN 47408
- Location Phone
- (812) 334-0112
- Mailing Address
- 2815 E 10TH ST BLOOMINGTON, IN 47408
- Mailing Phone
- (812) 332-2168
- Mailing Fax
- (812) 323-4610
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-12-2006
- Last Update Date
- 11-21-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D0999167
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- January 08, 2025
- Certificate Expiration Date
- January 07, 2027
- Laboratory Director
- LESLIE K. GREEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Stone Belt Arc, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093876195, enumerated as an "organization" on December 12, 2006.
The provider is located at 4700 N HITE DR BLOOMINGTON, IN 47408 and the phone number is (812) 334-0112.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
