HERITAGE HEALTH
NPI 1093059701
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Carlinville, IL
NPI Status: Active since November 19, 2012
Contact Information
1200 UNIVERSITY ST
CARLINVILLE, IL
ZIP 62626
Phone: (217) 854-4433
Fax: (217) 854-6291
- Organization
- Durable Medical Equipment & Medical Supp...
- Oxygen Equipment & Supplies
- CLIA Number: 14D0044623
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About HERITAGE HEALTH
This page provides the complete NPI Profile along with additional information for Heritage Health, a provider established in Carlinville, Illinois operating as a Durable Medical Equipment & Medical Supplies, focusing in oxygen equipment & supplies . The healthcare provider is registered in the NPI registry with number 1093059701 assigned on November 2012. The practitioner's primary taxonomy code is 332BX2000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Heritage Health. The authorized official of this NPI record is David Underwood Cpa (Exec Vp, Cfo)
- NPI
- 1093059701
- Provider Legal Name
- HERITAGE MANOR - CARLINVILLE, LLC
- Other Organization Name
- HERITAGE HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1200 UNIVERSITY ST CARLINVILLE, IL 62626
- Location Phone
- (217) 854-4433
- Location Fax
- (217) 854-6291
- Mailing Address
- 115 W JEFFERSON ST SUITE 401 BLOOMINGTON, IL 61701
- Mailing Phone
- (309) 828-4361
- Mailing Fax
- (217) 854-6291
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-19-2012
- Last Update Date
- 10-18-2016
- 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
Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies
- Taxonomy Code
- 332BX2000X
- Type
- Suppliers
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
- 14D0044623
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- KARLA SMITH, R N, L N H A
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Heritage Health 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 1093059701, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
CARLINVILLE, IL 62626
CARLINVILLE, IL 62626
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093059701, enumerated as an "organization" on November 19, 2012.
The provider is located at 1200 UNIVERSITY ST CARLINVILLE, IL 62626 and the phone number is (217) 854-4433.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BX2000X and a focus in Oxygen Equipment & Supplies.
