COBALT REHABILITATION HOSPITAL FARGO LLC
NPI 1619406733
Rehabilitation Hospital in Fargo, ND

NPI Status: Active since June 12, 2017

Contact Information

4671 38TH STREET S
FARGO, ND
ZIP 58104
Phone: (972) 330-5870

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  • Organization
  • Rehabilitation Hospital
  • CLIA Number: 15D2176003
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 12-04-2025

About COBALT REHABILITATION HOSPITAL FARGO LLC

This page provides the complete NPI Profile along with additional information for Cobalt Rehabilitation Hospital Fargo Llc, a provider established in Fargo, North Dakota operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1619406733 assigned on June 2017. The practitioner's primary taxonomy code is 283X00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Eric Hendrickson (Reimbursement Director)

NPI
1619406733
Provider Name
COBALT REHABILITATION HOSPITAL FARGO LLC
Entity Type
Organization
Location Address
4671 38TH STREET S FARGO, ND 58104
Location Phone
(972) 330-5870
Mailing Address
650 BEEBALM LN STE 220 GARLAND, TX 75040
Mailing Phone
(972) 414-6064
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2017
Last Update Date
06-02-2020
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is for profit and was certified on 11-22-2019 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

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

Rehabilitation Hospital

Taxonomy Code
283X00000X
Type
Hospitals
Taxonomy Description
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC HENDRICKSON

Authorized Official Title
REIMBURSEMENT DIRECTOR
Authorized Official Phone
(972) 414-6064

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • COBALT REHABILITATION HOSPITAL FARGO LLC has an ownership type of For profit
  • The facility received it's medicare certification date on 11-22-2019
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions157
Brain disease or condition (non-traumatic)82
Brain injury (traumatic)44
Hip or femur fracture74
Hip or knee replacement, amputation or other bone or joint condition236
Nervous system disorder (excluding stroke)394
Spinal cord disease or condition (non-traumatic)13
Spinal cord injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Stroke118

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
15D2176003
Facility Type
Hospital
Certificate Effective Date
December 05, 2023
Certificate Expiration Date
December 04, 2025
Laboratory Director
WAYLON MAYNARD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cobalt Rehabilitation Hospital Fargo 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.

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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 1619406733, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 4 → 8 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 8 + 0 + 1 + 2 + 7 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1619406733.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619406733, enumerated as an "organization" on June 12, 2017.

The provider is located at 4671 38TH STREET S FARGO, ND 58104 and the phone number is (972) 330-5870.

Rehabilitation Hospital with taxonomy code 283X00000X.