SPECTRUM HEALTH NEURO REHAB SERVICES-RESIDENTIAL
NPI 1164734364
Residential Treatment Facility, Physical Disabilities in Grand Rapids, MI
NPI Status: Active since July 06, 2010
Contact Information
4130 KALAMAZOO AVE SE
MAIL CODE 017
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 455-7300
- Organization
- Residential Treatment Facility, Physical...
- CLIA Number: 23D2151296
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 07-16-2026
About SPECTRUM HEALTH NEURO REHAB SERVICES-RESIDENTIAL
This page provides the complete NPI Profile along with additional information for Spectrum Health Neuro Rehab Services-residential, a provider established in Grand Rapids, Michigan operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1164734364 assigned on July 2010. The practitioner's primary taxonomy code is 320700000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Spectrum Health Neuro Rehab Services-residential. The authorized official of this NPI record is Mr. Lawrence J Oberst Cpa (Shcc/director Of Finance)
- NPI
- 1164734364
- Provider Legal Name
- SPECTRUM HEALTH WORTH SERVICES
- Other Organization Name
- SPECTRUM HEALTH NEURO REHAB SERVICES-RESIDENTIAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4130 KALAMAZOO AVE SE MAIL CODE 017 GRAND RAPIDS, MI 49508
- Location Phone
- (616) 455-7300
- Mailing Address
- 750 FULLER AVE NE MAIL CODE 133 GRAND RAPIDS, MI 49503
- Mailing Phone
- (616) 455-7300
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-06-2010
- Last Update Date
- 07-06-2010
- 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
Residential Treatment Facility, Physical Disabilities
- Taxonomy Code
- 320700000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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
- 23D2151296
- Facility Type
- Home Health Agency
- Certificate Effective Date
- July 17, 2024
- Certificate Expiration Date
- July 16, 2026
- Laboratory Director
- STEVEN MCNEELY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Spectrum Health Neuro Rehab Services-residential 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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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164734364, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164734364, enumerated as an "organization" on July 06, 2010.
The provider is located at 4130 KALAMAZOO AVE SE MAIL CODE 017 GRAND RAPIDS, MI 49508 and the phone number is (616) 455-7300.
Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.
