PEORIA SITE 014030
NPI 1104154277
Foster Care Agency in Peoria, IL
NPI Status: Active since November 30, 2009
Contact Information
4507 N STERLING AVE
PEORIA, IL
ZIP 61615
Phone: (309) 676-6131
Fax: (309) 676-5655
- Organization
- Foster Care Agency
About PEORIA SITE 014030
This page provides the complete NPI Profile along with additional information for Peoria Site 014030, a provider established in Peoria, Illinois operating as a Foster Care Agency. The healthcare provider is registered in the NPI registry with number 1104154277 assigned on November 2009. The practitioner's primary taxonomy code is 253J00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Peoria Site 014030. The authorized official of this NPI record is Viviane Ngwa Msw (Executive Director)
- NPI
- 1104154277
- Provider Legal Name
- ILLINOIS MENTOR
- Other Organization Name
- PEORIA SITE 014030
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4507 N STERLING AVE PEORIA, IL 61615
- Location Phone
- (309) 676-6131
- Location Fax
- (309) 676-5655
- Mailing Address
- 4507 N STERLING AVE PEORIA, IL 61615
- Mailing Phone
- (309) 676-6131
- Mailing Fax
- (309) 676-5655
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-30-2009
- Last Update Date
- 12-03-2010
- 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
Foster Care Agency
- Taxonomy Code
- 253J00000X
- Type
- Agencies
- Taxonomy Description
- A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
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 | 251B00000X | Agencies | Case Management | |
| 2 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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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 1104154277, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
PEORIA, IL 61615
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104154277, enumerated as an "organization" on November 30, 2009.
The provider is located at 4507 N STERLING AVE PEORIA, IL 61615 and the phone number is (309) 676-6131.
Foster Care Agency with taxonomy code 253J00000X.
