HEARTLAND HEALTH CARE CENTER-DECATUR
NPI 1134168503
Skilled Nursing Facility in Decatur, IL

NPI Status: Active since June 04, 2006

Contact Information

444 W HARRISON AVE
DECATUR, IL
ZIP 62526
Phone: (217) 877-7333
Fax: (217) 872-6723

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  • Organization
  • Skilled Nursing Facility

About HEARTLAND HEALTH CARE CENTER-DECATUR

This page provides the complete NPI Profile along with additional information for Heartland Health Care Center-decatur, a provider established in Decatur, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1134168503 assigned on June 2006. The practitioner's primary taxonomy code is 314000000X with license number 0027458 (IL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Heartland Health Care Center-decatur. The authorized official of this NPI record is Mr. Martin D Allen (Director)

NPI
1134168503
Provider Legal Name
HEARTLAND OF DECATUR IL LLC
Other Organization Name
HEARTLAND HEALTH CARE CENTER-DECATUR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
444 W HARRISON AVE DECATUR, IL 62526
Location Phone
(217) 877-7333
Location Fax
(217) 872-6723
Mailing Address
333 N SUMMIT ST TOLEDO, OH 43604
Mailing Phone
(419) 252-5500
Mailing Fax
(217) 872-6723
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2006
Last Update Date
06-15-2017
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
0027458
License State
IL
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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)
1261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

 

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

MR. MARTIN D ALLEN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(419) 252-5734

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
145038MEDICARE OSCAR/CERTIFICATION (06)IL 
=========001MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134168503
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164261650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 6 + 1 + 6 + 5 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1134168503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

MRS. LORRIE GAY TINKER M.S. CCCSLP

Speech-Language Pathologist

444 W HARRISON AVE
DECATUR, IL
ZIP 62526

(217) 877-7333

NICK V. GABASA JR.

Physical Therapist

444 W HARRISON AVE
DECATUR, IL
ZIP 62526

(217) 877-7333

BREANNE JOLEEN CLAIR MS, CCC-SLP

Speech-Language Pathologist

444 W HARRISON AVE
DECATUR, IL
ZIP 62526

(217) 877-7333

MISS LORI MICHELLE KUHN OTR/L

Occupational Therapist

444 W HARRISON AVE
DECATUR, IL
ZIP 62526

(217) 877-7333

MR. MELVIN JOHN PONTOY LUCES PT

Physical Therapist

444 W HARRISON AVE
DECATUR, IL
ZIP 62526

(217) 877-7333

MR. JUAN F PARDO COTA/L

Occupational Therapy Assistant

444 W HARRISON AVE
DECATUR, IL
ZIP 62526

(217) 877-7333

PARADOX DECATUR OPERATOR LLC

Skilled Nursing Facility

444 W HARRISON AVE
DECATUR, IL
ZIP 62526

(217) 877-7333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134168503, enumerated as an "organization" on June 04, 2006.

The provider is located at 444 W HARRISON AVE DECATUR, IL 62526 and the phone number is (217) 877-7333.

Skilled Nursing Facility with taxonomy code 314000000X.

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