GOTTLIEB ADULT DAY CENTER
NPI 1063967958
Clinic/Center - Adult Day Care in Melrose Park, IL
NPI Status: Active since August 20, 2016
Contact Information
701 W NORTH AVE
MELROSE PARK, IL
ZIP 60160
Phone: (708) 538-5700
Fax: (708) 538-4693
- Organization
- Clinic/Center
- Adult Day Care
- CLIA Number: 14D2238216
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 09-30-2027
About GOTTLIEB ADULT DAY CENTER
This page provides the complete NPI Profile along with additional information for Gottlieb Adult Day Center, a provider established in Melrose Park, Illinois operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1063967958 assigned on August 2016. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Gottlieb Adult Day Center. The authorized official of this NPI record is Jill Nelson Rn (Program Cordinator)
- NPI
- 1063967958
- Provider Legal Name
- GOTTLIEB MEMORIAL HOSPITAL
- Other Organization Name
- GOTTLIEB ADULT DAY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 701 W NORTH AVE MELROSE PARK, IL 60160
- Location Phone
- (708) 538-5700
- Location Fax
- (708) 538-4693
- Mailing Address
- 701 W NORTH AVE MELROSE PARK, IL 60160
- Mailing Phone
- (708) 538-5700
- Mailing Fax
- (708) 538-4693
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-20-2016
- Last Update Date
- 08-20-2016
- Code Navigator
Location Map
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 Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
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 this NPI number is:
- CLIA Number
- 14D2238216
- Facility Type
- Hospital
- Certificate Effective Date
- October 01, 2025
- Certificate Expiration Date
- September 30, 2027
- Laboratory Director
- JACK A. MAGGIORE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gottlieb Adult Day Center 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.
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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 1063967958, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063967958, enumerated as an "organization" on August 20, 2016.
The provider is located at 701 W NORTH AVE MELROSE PARK, IL 60160 and the phone number is (708) 538-5700.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.
