GOOD SHEPHERD CENTER
NPI 1093877045
Clinic/Center - Developmental Disabilities in Hazel Crest, IL

NPI Status: Active since December 15, 2006

Contact Information

17314 KEDZIE AVE
HAZEL CREST, IL
ZIP 60429
Phone: (708) 335-0020
Fax: (708) 335-0022

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About GOOD SHEPHERD CENTER

This page provides the complete NPI Profile along with additional information for Good Shepherd Center, a provider established in Hazel Crest, Illinois operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1093877045 assigned on December 2006. The practitioner's primary taxonomy code is 261QD1600X with license number 008118 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Brendan P Mccormick (Executive Director)

NPI
1093877045
Provider Name
GOOD SHEPHERD CENTER
Entity Type
Organization
Location Address
17314 KEDZIE AVE HAZEL CREST, IL 60429
Location Phone
(708) 335-0020
Location Fax
(708) 335-0022
Mailing Address
17314 KEDZIE AVE HAZEL CREST, IL 60429
Mailing Phone
(708) 335-0020
Mailing Fax
(708) 335-0022
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2006
Last Update Date
12-02-2015
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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 Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
License No.
008118
License State
IL
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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

 
2261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

008118 (IL)

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

MR. BRENDAN P MCCORMICK

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(708) 335-0020

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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 1093877045, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
5
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 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 6 + 7 + 1 + 4 + 0 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1093877045.

Other Providers at the Same Location


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

Occupational Therapist
17314 KEDZIE AVE
HAZEL CREST, IL 60429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093877045, enumerated as an "organization" on December 15, 2006.

The provider is located at 17314 KEDZIE AVE HAZEL CREST, IL 60429 and the phone number is (708) 335-0020.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.