ROLLA HEALTH & REHABILITATION SUITES
NPI 1629403977
Skilled Nursing Facility in Rolla, MO

NPI Status: Active since September 05, 2013

Contact Information

1200 MCCUTCHEN RD
ROLLA, MO
ZIP 65401
Phone: (573) 364-2311
Fax: (573) 364-2748

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Skilled Nursing Facility
Accepts Insurance

About ROLLA HEALTH & REHABILITATION SUITES

This page provides the complete NPI Profile along with additional information for Rolla Health & Rehabilitation Suites, a provider established in Rolla, Missouri operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1629403977 assigned on September 2013. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Rolla Health & Rehabilitation Suites. The authorized official of this NPI record is Kam Mcgavock (President)

NPI: 1629403977
Provider Legal Name: ROLLA HEALTH CARE LLC
Other Organization Name: ROLLA HEALTH & REHABILITATION SUITES
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1200 MCCUTCHEN RD ROLLA, MO 65401
Location Phone: (573) 364-2311
Location Fax: (573) 364-2748
Mailing Address: 920 RIDGEBROOK RD SPARKS, MD 21152
Mailing Phone: (410) 773-1000
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-05-2013
Last Update Date: 05-16-2014
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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
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:

Aetna CVS Health

Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care - EPO
Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - EPO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
Bronze S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
Gold S: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - EPO
Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care - EPO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - EPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

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: KAM MCGAVOCK
Authorized Official Title: PRESIDENT
Authorized Official Phone: (410) 773-1000

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
101475408	MEDICAID (05)	MO
265844	MEDICARE OSCAR/CERTIFICATION (06)

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	6	2	9	4	0	3	9	7	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	4	9	8	0	6	9	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 8 + 0 + 6 + 9 + 1 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 7									7

The NPI number 1629403977 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.