LOCH RAVEN CLC
NPI 1639475809
Rehabilitation Unit in Baltimore, MD

NPI Status: Active since February 04, 2011

Contact Information

3900 LOCH RAVEN BLVD
BALTIMORE, MD
ZIP 21218
Phone: (410) 605-7000
Fax: (410) 605-7589

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  • Organization
  • Rehabilitation Unit
  • CLIA Number: 21D0987072
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About LOCH RAVEN CLC

This page provides the complete NPI Profile along with additional information for Loch Raven Clc, a provider established in Baltimore, Maryland operating as a Rehabilitation Unit. The healthcare provider is registered in the NPI registry with number 1639475809 assigned on February 2011. The practitioner's primary taxonomy code is 273Y00000X with license number 16012 (MD). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's former legal business name is Veterans Affairs. The authorized official of this NPI record is Mrs. Sondra Hardy Otukoya Ctrs (Recreation Recreation)

NPI
1639475809
Provider Legal Name
LOCH RAVEN CLC
Other Organization Name
VETERANS AFFAIRS
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3900 LOCH RAVEN BLVD BALTIMORE, MD 21218
Location Phone
(410) 605-7000
Location Fax
(410) 605-7589
Mailing Address
3900 LOCH RAVEN BLVD. BALTIMORE, MD 21218
Mailing Phone
(410) 605-7000
Mailing Fax
(410) 605-7589
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2011
Last Update Date
02-04-2011
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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

Rehabilitation Unit

Taxonomy Code
273Y00000X
Type
Hospital Units
License No.
16012
License State
MD
Taxonomy Description
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.

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.

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

MRS. SONDRA HARDY OTUKOYA CTRS

Authorized Official Title
RECREATION RECREATION
Authorized Official Phone
(410) 605-7000

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
225800000XMEDICARE UPIN (02)MD 

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
21D0987072
Facility Type
Community Clinic
Certificate Effective Date
May 29, 2001
Certificate Expiration Date
May 22, 2026
Laboratory Director
DONG LEE
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Loch Raven Clc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for LOCH RAVEN CLC

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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 1639475809, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
9
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 3 → 6 4 → 8 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 8 + 7 + 1 + 0 + 8 + 0 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1639475809.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Nurse Practitioner (Gerontology)
3900 LOCH RAVEN BLVD, BLDG 2
BALTIMORE, MD 21218
Recreation Therapist
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Social Worker (Clinical)
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Social Worker (Clinical)
3900 LOCH RAVEN BLVD, BUILDING 2
BALTIMORE, MD 21218
Physical Therapist
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Occupational Therapist
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Occupational Therapist
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Occupational Therapy Assistant
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Social Worker (Clinical)
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Dietitian, Registered
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Occupational Therapist
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Physical Therapist
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Pharmacist (Geriatric)
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Kinesiotherapist
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Social Worker (Clinical)
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Registered Nurse
3900 LOCH RAVEN BLVD, BUILDING 2
BALTIMORE, MD 21218
Registered Nurse (Community Health)
3900 LOCH RAVEN BLVD, BUILDING #2
BALTIMORE, MD 21218
Registered Nurse (Community Health)
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218
Technician, Other
3900 LOCH RAVEN BLVD
BALTIMORE, MD 21218

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639475809, enumerated as an "organization" on February 04, 2011.

The provider is located at 3900 LOCH RAVEN BLVD BALTIMORE, MD 21218 and the phone number is (410) 605-7000.

Rehabilitation Unit with taxonomy code 273Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.