KIDS HOPE UNITED NORTHERN REGION
NPI 1104889633
Residential Treatment Facility, Emotionally Disturbed Children in Lake Villa, IL

NPI Status: Active since April 07, 2006

Contact Information

215 N MILWAUKEE AVE
LAKE VILLA, IL
ZIP 60046
Phone: (847) 245-6584
Fax: (847) 356-1842

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About KIDS HOPE UNITED NORTHERN REGION

This page provides the complete NPI Profile along with additional information for Kids Hope United Northern Region, a provider established in Lake Villa, Illinois operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1104889633 assigned on April 2006. The practitioner's primary taxonomy code is 322D00000X with license number 004019-10 (IL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Heather Christine Kelly (Assistant Director Of Bh)

NPI
1104889633
Provider Name
KIDS HOPE UNITED NORTHERN REGION
Entity Type
Organization
Location Address
215 N MILWAUKEE AVE LAKE VILLA, IL 60046
Location Phone
(847) 245-6584
Location Fax
(847) 356-1842
Mailing Address
215 N MILWAUKEE AVE P.O. BOX 1128 LAKE VILLA, IL 60046
Mailing Phone
(847) 245-6584
Mailing Fax
(847) 356-1842
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2006
Last Update Date
08-16-2024
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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

Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Code
322D00000X
Type
Residential Treatment Facilities
License No.
004019-10
License State
IL
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

HEATHER CHRISTINE KELLY

Authorized Official Title
ASSISTANT DIRECTOR OF BH
Authorized Official Phone
(217) 347-5880

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
370697157003MEDICAID (05)IL 

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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 1104889633, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 6 + 8 + 1 + 8 + 6 + 6 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1104889633.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Social Worker (Clinical)
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046
Counselor
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046
Social Worker (Clinical)
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046
Counselor
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE, BUILDING # 4
LAKE VILLA, IL 60046
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE, CAMPUS BUILDING #5
LAKE VILLA, IL 60046
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE, CAMPUS BUILDING #7
LAKE VILLA, IL 60046
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE, CAMPUS BUILDING #6
LAKE VILLA, IL 60046
Residential Treatment Facility, Emotionally Disturbed Children
215 N MILWAUKEE AVE
LAKE VILLA, IL 60046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104889633, enumerated as an "organization" on April 07, 2006.

The provider is located at 215 N MILWAUKEE AVE LAKE VILLA, IL 60046 and the phone number is (847) 245-6584.

Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.