CHURCHVIEW SUPPORTIVE LIVING COMMUNITY
NPI 1003002650
Assisted Living Facility in Chicago, IL

NPI Status: Active since September 18, 2007

Contact Information

2626 W 63RD ST
CHICAGO, IL
ZIP 60629
Phone: (773) 471-4444
Fax: (773) 471-3935

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  • Organization
  • Assisted Living Facility

About CHURCHVIEW SUPPORTIVE LIVING COMMUNITY

Churchview Supportive Living Community is a provider established in Chicago, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1003002650 assigned on September 2007. The practitioner's primary taxonomy code is 310400000X with license number 0001 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Ms. Laura Kelly (Administrator)

NPI1003002650
Provider NameCHURCHVIEW SUPPORTIVE LIVING COMMUNITY
Location Address2626 W 63RD ST CHICAGO, IL 60629
Location Phone(773) 471-4444
Mailing Address2626 W 63RD ST CHICAGO, IL 60629
Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-18-2007
Last Update Date07-21-2022
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
0001
License State
IL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Location Map

Mailing Address

2626 W 63RD ST
CHICAGO, IL
ZIP 60629
Phone: (773) 471-4444
Fax: (773) 471-3935

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

MS. LAURA KELLY

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(773) 471-4444

Reviews for CHURCHVIEW SUPPORTIVE LIVING COMMUNITY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003002650
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003004610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 4 + 6 + 1 + 0 + 24 = 40
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1003002650 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1700593571CHURCHVIEW SUPPORTIVE LIVING PRESERVATION LP
Organization
Assisted Living Facility2626 W 63RD ST
CHICAGO, IL 60629
(773) 362-3373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003002650, enumerated in the NPI registry as an "organization" on September 18, 2007

The provider is located at 2626 W 63rd St Chicago, Il 60629 and the phone number is (773) 471-4444

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on September 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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