BRIDGING THE TYS TO JORDAN INC
NPI 1083884019
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Chicago, IL

NPI Status: Active since March 05, 2008

Contact Information

5500 S INDIANA AVE BSMT
CHICAGO, IL
ZIP 60637
Phone: (773) 425-8159
Fax: (773) 488-9462

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...

About BRIDGING THE TYS TO JORDAN INC

This page provides the complete NPI Profile along with additional information for Bridging The Tys To Jordan Inc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1083884019 assigned on March 2008. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Tyson Everett (Executive Director)

NPI
1083884019
Provider Name
BRIDGING THE TYS TO JORDAN INC
Entity Type
Organization
Location Address
5500 S INDIANA AVE BSMT CHICAGO, IL 60637
Location Phone
(773) 425-8159
Location Fax
(773) 488-9462
Mailing Address
5500 S INDIANA AVE BSMT CHICAGO, IL 60637
Mailing Phone
(773) 425-8159
Mailing Fax
(773) 488-9462
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2008
Last Update Date
10-22-2025
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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

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
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)
1251B00000XAgencies

Case Management

A-3249-0001 (IL)
2251S00000XAgencies

Community/Behavioral Health

 
3261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
4276400000XHospital Units

Rehabilitation, Substance Use Disorder Unit

 
5324500000XResidential Treatment Facilities

Substance Abuse Rehabilitation Facility

 

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

TYSON EVERETT

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(773) 425-8159

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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 1083884019, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
9
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 8 → 16 → 7 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 6 + 8 + 8 + 0 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1083884019.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Case Management
5500 S INDIANA AVE BSMT
CHICAGO, IL 60637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083884019, enumerated as an "organization" on March 05, 2008.

The provider is located at 5500 S INDIANA AVE BSMT CHICAGO, IL 60637 and the phone number is (773) 425-8159.

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).