SOUTHERN SPECIALTY REHAB & NURSING
NPI 1841563038
Skilled Nursing Facility in Lubbock, TX

NPI Status: Active since February 17, 2012

Contact Information

4320 WEST 19TH STREET
LUBBOCK, TX
ZIP 79407
Phone: (806) 795-1774
Fax: (806) 771-3868

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  • Organization
  • Skilled Nursing Facility
  • CLIA Number: 45D1026242
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 05-27-2026

About SOUTHERN SPECIALTY REHAB & NURSING

This page provides the complete NPI Profile along with additional information for Southern Specialty Rehab & Nursing, a provider established in Lubbock, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1841563038 assigned on February 2012. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Southern Specialty Rehab & Nursing. The authorized official of this NPI record is Mr. David Mak (Chief Financial Officer)

NPI
1841563038
Provider Legal Name
WEST WHARTON COUNTY HOSPITAL DISTRICT
Other Organization Name
SOUTHERN SPECIALTY REHAB & NURSING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4320 WEST 19TH STREET LUBBOCK, TX 79407
Location Phone
(806) 795-1774
Location Fax
(806) 771-3868
Mailing Address
4150 INTERNATIONAL PLAZA SUITE 600 FORT WORTH, TX 76109
Mailing Phone
(817) 348-8959
Mailing Fax
(806) 771-3868
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-17-2012
Last Update Date
02-25-2022
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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:

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

MR. DAVID MAK

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(979) 578-5250

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
004235OTHER (01)TXFACILITY ID
001020268MEDICAID (05)TX 

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
45D1026242
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
May 28, 2024
Certificate Expiration Date
May 27, 2026
Laboratory Director
SONJA CREEK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern Specialty Rehab & Nursing 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.

Reviews for SOUTHERN SPECIALTY REHAB & NURSING

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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 1841563038, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 1 + 0 + 6 + 6 + 0 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1841563038.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841563038, enumerated as an "organization" on February 17, 2012.

The provider is located at 4320 WEST 19TH STREET LUBBOCK, TX 79407 and the phone number is (806) 795-1774.

Skilled Nursing Facility with taxonomy code 314000000X.

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