MOUNT HOPE REHABILITATION, LLC NPI 1225536857

Clinic/Center (Physical Therapy) in Mount Hope, KS

NPI 1225536857 Organization Clinic/Center Physical Therapy CLIA Number 17D0648303 CLIA Certificate of Waiver

About MOUNT HOPE REHABILITATION, LLC

Mount Hope Rehabilitation, Llc is a provider established in Mount Hope, Kansas specializing in clinic/center (physical therapy) . The NPI number of Mount Hope Rehabilitation, Llc is 1225536857 and was assigned on January 2018. The practitioner's primary taxonomy code is 261QP2000X with license number 11-03518 (KS). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Carol Best Pt (Owner)

The CLIA number of Mount Hope Rehabilitation, Llc is 17D0648303 registered as a "skilled nursing/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Mount Hope Rehabilitation, Llc 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.

NPI

1225536857

Provider NameMOUNT HOPE REHABILITATION, LLC
Provider Location Address116 W MAIN ST MOUNT HOPE, KS 67108
Provider Mailing Address9990 N 247TH ST W MOUNT HOPE, KS 67108
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-29-2018
Last Update Date01-29-2018


Primary Taxonomy

Taxonomy Code261QP2000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPhysical Therapy
License No.11-03518
License StateKS
Taxonomy DescriptionAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Business Address

MOUNT HOPE REHABILITATION, LLC
116 W MAIN ST
MOUNT HOPE, KS
ZIP 67108
Phone: (316) 530-1799
Fax: (316) 661-2352

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Mailing Address

MOUNT HOPE REHABILITATION, LLC
9990 N 247TH ST W
MOUNT HOPE, KS
ZIP 67108
Phone: (316) 648-8070
Fax: (316) 661-2352



Authorized Official

Authorized Official Name CAROL BEST PT
Authorized Official TitleOWNER
Authorized Official Phone(316) 530-1799

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 the NPI number 1225536857 is:

CLIA Number17D0648303
Facility TypeSKILLED NURSING/NURSING FACILITY
Certificate TypeCertificate of Waiver

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1790762979OTHER (01)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.