TIMBERLAKE HEALTH AND REHABILITATION
NPI 1962435149
Skilled Nursing Facility in Jasper, TX

NPI Status: Active since July 09, 2006

Contact Information

315 W GIBSON ST
JASPER, TX
ZIP 75951
Phone: (409) 384-5768
Fax: (409) 383-1940

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  • Organization
  • Skilled Nursing Facility

About TIMBERLAKE HEALTH AND REHABILITATION

This page provides the complete NPI Profile along with additional information for Timberlake Health And Rehabilitation, a provider established in Jasper, Texas operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1962435149 assigned on July 2006. The practitioner's primary taxonomy code is 314000000X with license number 116446 (TX). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Timberlake Health And Rehabilitation. The authorized official of this NPI record is Douglas K. Mittleider (President Of Mgmt Co)

NPI
1962435149
Provider Legal Name
SALEM HOUSING CORPORATION
Other Organization Name
TIMBERLAKE HEALTH AND REHABILITATION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
315 W GIBSON ST JASPER, TX 75951
Location Phone
(409) 384-5768
Location Fax
(409) 383-1940
Mailing Address
5895 WINDWARD PKWY SUITE 200 ALPHARETTA, GA 30005
Mailing Phone
(770) 619-0866
Mailing Fax
(409) 383-1940
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-09-2006
Last Update Date
05-20-2010
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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
License No.
116446
License State
TX
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

DOUGLAS K. MITTLEIDER

Authorized Official Title
PRESIDENT OF MGMT CO
Authorized Official Phone
(770) 619-0866

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
001013913MEDICAID (05)TX 
67-5709MEDICARE ID-TYPE UNSPECIFIED (04) 

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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 1962435149, 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 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
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
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 6 → 12 → 3 4 → 8 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 8 + 3 + 1 + 0 + 1 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962435149.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Skilled Nursing Facility
315 W GIBSON ST
JASPER, TX 75951
Occupational Therapy Assistant
315 W GIBSON ST
JASPER, TX 75951
Physical Therapy Assistant
315 W GIBSON ST
JASPER, TX 75951
Skilled Nursing Facility
315 W GIBSON ST
JASPER, TX 75951
Registered Nurse
315 W GIBSON ST
JASPER, TX 75951
Registered Nurse (Administrator)
315 W GIBSON ST
JASPER, TX 75951

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962435149, enumerated as an "organization" on July 09, 2006.

The provider is located at 315 W GIBSON ST JASPER, TX 75951 and the phone number is (409) 384-5768.

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.