BELLEFONTAINE HABILITATION CENTER
NPI 1710931167
Physical Medicine & Rehabilitation in Saint Louis, MO

NPI Status: Active since May 20, 2006

Contact Information

10695 BELLEFONTAINE RD
SAINT LOUIS, MO
ZIP 63137
Phone: (314) 340-6000
Fax: (314) 340-6199

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  • Organization
  • Physical Medicine & Rehabilitation
  • CLIA Number: 26D0885737
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 05-01-2026

About BELLEFONTAINE HABILITATION CENTER

This page provides the complete NPI Profile along with additional information for Bellefontaine Habilitation Center, a provider established in Saint Louis, Missouri operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1710931167 assigned on May 2006. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Bellefontaine Habilitation Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Bellefontaine Habilitation Center. The authorized official of this NPI record is Molly Jane Boeckmann (Director Of Administrative Services)

NPI
1710931167
Provider Legal Name
STATE OF MISSOURI
Other Organization Name
BELLEFONTAINE HABILITATION CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10695 BELLEFONTAINE RD SAINT LOUIS, MO 63137
Location Phone
(314) 340-6000
Location Fax
(314) 340-6199
Mailing Address
1706 E ELM ST JEFFERSON CITY, MO 65101
Mailing Phone
(573) 751-3398
Mailing Fax
(314) 340-6199
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-20-2006
Last Update Date
10-27-2020
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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

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
22084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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.

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

MOLLY JANE BOECKMANN

Authorized Official Title
DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official Phone
(573) 751-4055

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
501500102MEDICAID (05)MO 
CG4952OTHER (01)MOMEDICARE RAILROAD

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
26D0885737
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
May 02, 2024
Certificate Expiration Date
May 01, 2026
Laboratory Director
LAURA WAYER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bellefontaine Habilitation Center 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 1710931167, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
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 9 → 18 → 9 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 1 + 8 + 3 + 2 + 1 + 1 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1710931167.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Intermediate Care Facility, Intellectual Disabilities
10695 BELLEFONTAINE RD
SAINT LOUIS, MO 63137
Intermediate Care Facility, Intellectual Disabilities
10695 BELLEFONTAINE RD
SAINT LOUIS, MO 63137

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710931167, enumerated as an "organization" on May 20, 2006.

The provider is located at 10695 BELLEFONTAINE RD SAINT LOUIS, MO 63137 and the phone number is (314) 340-6000.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

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