Active NPI
Barnesville Healthcare and Rehab Center, LLC
- Nursing Facility/Intermediate Care Facility
- Barnesville, OH
National Provider Identifier
1982955357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- BARNESVILLE HEALTHCARE AND REHAB CENTER, LLC
- Practice address
- 400 Carrie Ave
Barnesville, OH 43713-1317 - Phone
- (740) 425-3648
- NPI assigned
- Sep 26, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Gotter
- Title
- VP of Revenue Cycle Management
- Phone
- (773) 338-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
400 Carrie Ave
Barnesville, OH 43713-1317
Mailing address
2711 W Howard St
Chicago, IL 60645-1303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076088 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0332895 | Barnesville Healthcare and Rehab | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1982955357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 W HOWARD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606451303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CARRIE AVE",
"city": "BARNESVILLE",
"state": "OH",
"postal_code": "437131317",
"telephone_number": "740-425-3648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARNESVILLE HEALTHCARE AND REHAB CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-26",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "GOTTER",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "773-338-4400"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0076088",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barnesville, OH
- Alternative Residences Two Inc
- Allison Anderson
- Brandi Jerica Auber
- Brenda Sue Barkeloo, P.T.
- Barnesville Exempted Village School District
- Barnesville Hospital Association, Inc.
- Barnesville Hospital Association, Inc.
- Barnesville Hospital Association, Inc.
- Barnesville Hospital Association, Inc.
- Barnesville SNF Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.