SOUTHSTAR SERVICES
NPI 1053503094
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago Heights, IL
NPI Status: Active since August 14, 2007
Contact Information
1005 W END AVE
CHICAGO HEIGHTS, IL
ZIP 60411
Phone: (708) 755-8030
Fax: (708) 755-8047
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
About SOUTHSTAR SERVICES
This page provides the complete NPI Profile along with additional information for Southstar Services, a provider established in Chicago Heights, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1053503094 assigned on August 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Southstar Services. The authorized official of this NPI record is Gus Van Den Brink (President/ceo)
- NPI
- 1053503094
- Provider Legal Name
- SERTOMA STAR SERVICES, INC.
- Other Organization Name
- SOUTHSTAR SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1005 W END AVE CHICAGO HEIGHTS, IL 60411
- Location Phone
- (708) 755-8030
- Location Fax
- (708) 755-8047
- Mailing Address
- 1005 W END AVE CHICAGO HEIGHTS, IL 60411
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-14-2007
- Last Update Date
- 02-12-2024
- Code Navigator
Location Map
Secondary Locations
- 4331 Lincoln Hwy
Matteson, IL 60443
(708) 748-1951 - 4100 W 127th St
Alsip, IL 60803
(708) 371-9700 - 4343 W 123rd St
Alsip, IL 60803
(708) 371-9700
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
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | 946232 (IL) |
| 2 | 251S00000X | Agencies | Community/Behavioral Health | |
| 3 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 946232 (IL) |
| 4 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053503094, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 46 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053503094, enumerated as an "organization" on August 14, 2007.
The provider is located at 1005 W END AVE CHICAGO HEIGHTS, IL 60411 and the phone number is (708) 755-8030.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
