KENNEDY HOME DIALYSIS
NPI 1104946565
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Chicago, IL

NPI Status: Active since March 30, 2007

Contact Information

5513 N CUMBERLAND AVE STE 703
CHICAGO, IL
ZIP 60656
Phone: (773) 775-6278
Fax: (773) 631-9431

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment

About KENNEDY HOME DIALYSIS

This page provides the complete NPI Profile along with additional information for Kennedy Home Dialysis, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1104946565 assigned on March 2007. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Kennedy Home Dialysis. The authorized official of this NPI record is James K Hilger (Chief Accounting Officer)

NPI
1104946565
Provider Legal Name
LINCOLN PARK DIALYSIS SERVICES INC
Other Organization Name
KENNEDY HOME DIALYSIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5513 N CUMBERLAND AVE STE 703 CHICAGO, IL 60656
Location Phone
(773) 775-6278
Location Fax
(773) 631-9431
Mailing Address
5200 VIRGINIA WAY L&C DEPT BRENTWOOD, TN 37027
Mailing Phone
(615) 341-6657
Mailing Fax
(773) 631-9431
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2007
Last Update Date
06-23-2015
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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 End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities

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

JAMES K HILGER

Authorized Official Title
CHIEF ACCOUNTING OFFICER
Authorized Official Phone
(253) 733-4500

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
=========005MEDICAID (05)IL 
142691MEDICARE OSCAR/CERTIFICATION (06)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 1104946565, 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 0 → 0 9 → 18 → 9 6 → 12 → 3 6 → 12 → 3

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 + 8 + 4 + 1 + 2 + 5 + 1 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104946565.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104946565, enumerated as an "organization" on March 30, 2007.

The provider is located at 5513 N CUMBERLAND AVE STE 703 CHICAGO, IL 60656 and the phone number is (773) 775-6278.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

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