SKOKIE MEADOWS BEHAVIORAL HEALTH CTR NPI 1003004565
Intermediate Care Facility, Mental Illness in Skokie, IL

Organization Intermediate Care Facility, Mental Illne...

About SKOKIE MEADOWS BEHAVIORAL HEALTH CTR

Skokie Meadows Behavioral Health Ctr is a provider established in Skokie, Illinois specializing in Intermediate Care Facility, Mental Illness. The NPI number of Skokie Meadows Behavioral Health Ctr is 1003004565 and was assigned on October 2007. The practitioner's primary taxonomy code is 310500000X with license number 0031393 (IL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Skokie Meadows Behavioral Health Ctr. The authorized official of this NPI record is Mark Appel (Member)

NPI
1003004565
Provider NameSKOKIE MEADOWS BEHAVIORAL HEALTH CTR
Provider Location Address4600 GOLF RD SKOKIE, IL 60076
Provider Mailing Address4600 GOLF RD SKOKIE, IL 60076
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSKOKIE MEADOWS BEHAVIORAL HEALTH CTR
Other Name TypeDoing Business As (3)
Enumeration Date10-10-2007
Last Update Date05-24-2016


Primary Taxonomy

Taxonomy Code310500000X
ClassificationIntermediate Care Facility, Mental Illness
TypeNursing & Custodial Care Facilities
License No.0031393
License StateIL
Taxonomy DescriptionA nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Business Address

SKOKIE MEADOWS BEHAVIORAL HEALTH CTR
4600 GOLF RD
SKOKIE, IL
ZIP 60076
Phone: (847) 679-4161
Fax: (847) 679-3241

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Mailing Address

SKOKIE MEADOWS BEHAVIORAL HEALTH CTR
4600 GOLF RD
SKOKIE, IL
ZIP 60076
Phone: (847) 679-4161
Fax: (847) 679-3241


Authorized Official

Authorized Official Name MARK APPEL
Authorized Official TitleMEMBER
Authorized Official Phone(847) 679-4161

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========001MEDICAID (05)IL

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.
1003004565
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003008512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 8 + 5 + 1 + 2 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003004565 is valid because the calculated check digit 5 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
1366081341SKOKIE MEADOWS LLC
Organization
Intermediate Care Facility, Mental Illness4600 GOLF RD
SKOKIE, IL 60076
(847) 679-1157

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Skokie Meadows Behavioral Health Ctr is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.