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
- 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
- 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
- Code Navigator
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
- 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.
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 |
|---|---|---|---|
| 163180526 | MEDICAID (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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
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.