OAKBROOK HEALTH & REHABILITATION CENTER
NPI 1205910080
Skilled Nursing Facility in Summerville, SC
NPI Status: Active since October 25, 2006
Contact Information
920 TRAVELERS BLVD
SUMMERVILLE, SC
ZIP 29485
Phone: (843) 875-9053
Fax: (843) 875-7334
- Organization
- Skilled Nursing Facility
- CLIA Number: 42D2162238
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-19-2027
About OAKBROOK HEALTH & REHABILITATION CENTER
This page provides the complete NPI Profile along with additional information for Oakbrook Health & Rehabilitation Center, a provider established in Summerville, South Carolina operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1205910080 assigned on October 2006. The practitioner's primary taxonomy code is 314000000X with license number NCF-637 (SC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Oakbrook Health & Rehabilitation Center. The authorized official of this NPI record is Toya Dunlap (Administrator)
- NPI
- 1205910080
- Provider Legal Name
- PALMETTO OAKBROOK OPERATING LLC
- Other Organization Name
- OAKBROOK HEALTH & REHABILITATION CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 920 TRAVELERS BLVD SUMMERVILLE, SC 29485
- Location Phone
- (843) 875-9053
- Location Fax
- (843) 875-7334
- Mailing Address
- 920 TRAVELERS BLVD SUMMERVILLE, SC 29485
- Mailing Phone
- (843) 875-9053
- Mailing Fax
- (843) 875-7334
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-25-2006
- Last Update Date
- 11-20-2014
- 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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- NCF-637
- License State
- SC
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0923NF | MEDICAID (05) | SC | |
| 425156 | MEDICARE OSCAR/CERTIFICATION (06) | SC |
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
- 42D2162238
- Facility Type
- Physician Office
- Certificate Effective Date
- February 20, 2025
- Certificate Expiration Date
- February 19, 2027
- Laboratory Director
- DR. JEFFREY HERMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Oakbrook Health & Rehabilitation Center 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.
Reviews for OAKBROOK HEALTH & REHABILITATION CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 1 | 0 | 0 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 1 | 0 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 1 + 0 + 0 + 1 + 6 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1205910080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
OAKBROOK HEALTH CARE LLC
Skilled Nursing Facility
920 TRAVELERS BLVD
SUMMERVILLE, SC
ZIP 29485
JACINTE HAWKINS FNP
Nurse Practitioner
(Family)
920 TRAVELERS BLVD
SUMMERVILLE, SC
ZIP 29485
LEAH CAMPBELL M.A., CCC-SLP
Speech-Language Pathologist
920 TRAVELERS BLVD
SUMMERVILLE, SC
ZIP 29485
LORIE TENE FOLK CNA
Nurse's Aide
920 TRAVELERS BLVD
SUMMERVILLE, SC
ZIP 29485
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205910080, enumerated as an "organization" on October 25, 2006.
The provider is located at 920 TRAVELERS BLVD SUMMERVILLE, SC 29485 and the phone number is (843) 875-9053.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
