SOUTHEAST REHAB LLC
NPI 1700959905
Rehabilitation Hospital in Lake Village, AR

NPI Status: Active since November 16, 2006

Contact Information

905 BORGOGNONI DR
LAKE VILLAGE, AR
ZIP 71653
Phone: (318) 665-9950
Fax: (318) 665-0379

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  • Organization
  • Rehabilitation Hospital
  • Accepts Insurance

About SOUTHEAST REHAB LLC

This page provides the complete NPI Profile along with additional information for Southeast Rehab Llc, a provider established in Lake Village, Arkansas operating as a Rehabilitation Hospital. The healthcare provider is registered in the NPI registry with number 1700959905 assigned on November 2006. The practitioner's primary taxonomy code is 283X00000X with license number AR4376 (AR). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Catherine Martin Waldrop Med, Lpc, Nbcc (Administrator/ceo)

NPI
1700959905
Provider Legal Name
SOUTHEAST REHAB LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
905 BORGOGNONI DR LAKE VILLAGE, AR 71653
Location Phone
(318) 665-9950
Location Fax
(318) 665-0379
Mailing Address
905 BORGOGNONI DR LAKE VILLAGE, AR 71653
Mailing Phone
(318) 665-9950
Mailing Fax
(318) 665-0379
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2006
Last Update Date
11-07-2025
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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 Hospital

Taxonomy Code
283X00000X
Type
Hospitals
License No.
AR4376
License State
AR
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Catastrophic HSA - PPO
  • Gold Standardized - PPO
  • Gold Value - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Dental Platinum - PPO
  • Dental Platinum Plus Vision - PPO
  • Dental Platinum Premium - PPO
  • Dental Platinum Premium Plus Vision - PPO
  • Dental Silver - PPO
  • HA Bronze Exp Standardized - POS
  • HA Bronze National - POS
  • HA Gold Premier National - POS
  • HA Gold Standardized - POS
  • HA Platinum Premier National - POS
  • HA Platinum Standardized - POS
  • HA Silver AH - POS
  • HA Silver Standardized - POS
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Classic National - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Standardized - POS

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

CATHERINE MARTIN WALDROP MED, LPC, NBCC

Authorized Official Title
ADMINISTRATOR/CEO
Authorized Official Phone
(318) 665-9950

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
163180526MEDICAID (05)AR 

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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 1700959905, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
7
Unchanged
Pos 3
0
Doubled → 0
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
5
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 0 → 0 9 → 18 → 9 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 0 + 0 + 1 + 8 + 5 + 1 + 8 + 9 + 0 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1700959905.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700959905, enumerated as an "organization" on November 16, 2006.

The provider is located at 905 BORGOGNONI DR LAKE VILLAGE, AR 71653 and the phone number is (318) 665-9950.

Rehabilitation Hospital with taxonomy code 283X00000X.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.