Organization Active NPI

Barnesville Healthcare and Rehab Center, LLC

  • Nursing Facility/Intermediate Care Facility
  • Barnesville, OH
National Provider Identifier
1982955357
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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

Updated by the provider on Aug 4, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0076088MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0332895Barnesville Healthcare and Rehab400 Carrie Ave, Barnesville, OH 43713Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.