FORD HEIGHTS SCHOOL DISTRICT #169 NPI 1003017062

Local Education Agency (LEA) in Ford Heights, IL

NPI 1003017062 Organization Local Education Agency (LEA) CLIA Number 14D2215343 CLIA Certificate of Waiver

NPI Profile for FORD HEIGHTS SCHOOL DISTRICT #169

Ford Heights School District #169 is a provider established in Ford Heights, Illinois specializing in local education agency (lea). The NPI number of Ford Heights School District #169 is 1003017062 and was assigned on May 2007. The practitioner's primary taxonomy code is 251300000X. 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 Gregory Jackson (Superintendent)

The CLIA number of Ford Heights School District #169 is 14D2215343 registered as a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Ford Heights School District #169 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003017062

Provider NameFORD HEIGHTS SCHOOL DISTRICT #169
Provider Location Address910 WOODLAWN AVE FORD HEIGHTS, IL 60411
Provider Mailing Address910 WOODLAWN AVE FORD HEIGHTS, IL 60411
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-29-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code251300000X
ClassificationLocal Education Agency (LEA)
TypeAgencies
Taxonomy DescriptionThe term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.

Business Address

FORD HEIGHTS SCHOOL DISTRICT #169
910 WOODLAWN AVE
FORD HEIGHTS, IL
ZIP 60411
Phone: (708) 758-1370

Get Directions


Mailing Address

FORD HEIGHTS SCHOOL DISTRICT #169
910 WOODLAWN AVE
FORD HEIGHTS, IL
ZIP 60411
Phone:



Authorized Official

Authorized Official Name GREGORY JACKSON
Authorized Official TitleSUPERINTENDENT
Authorized Official Phone(708) 758-1370

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003017062 is:

CLIA Number14D2215343
Facility TypeSCHOOL/STUDENT HEALTH SERVICE
Certificate TypeCertificate of Waiver

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003017062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 0 + 1 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003017062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

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
Ford Heights School District #169 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.