CHOATE MENTAL HEALTH & DEVELOPMENTAL CENTER
NPI 1154453991
Intermediate Care Facility, Intellectual Disabilities in Anna, IL

NPI Status: Active since March 09, 2007

Contact Information

1000 N MAIN ST
ANNA, IL
ZIP 62906
Phone: (618) 833-5161

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About CHOATE MENTAL HEALTH & DEVELOPMENTAL CENTER

This page provides the complete NPI Profile along with additional information for Choate Mental Health & Developmental Center, a provider established in Anna, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1154453991 assigned on March 2007. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Choate Mental Health & Developmental Center. The authorized official of this NPI record is Debra Muhlstadt (Fiscal Administrator, Sodc Operatio)

NPI
1154453991
Provider Legal Name
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Other Organization Name
CHOATE MENTAL HEALTH & DEVELOPMENTAL CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1000 N MAIN ST ANNA, IL 62906
Location Phone
(618) 833-5161
Mailing Address
1000 N MAIN ST ANNA, IL 62906
Mailing Phone
(618) 833-5161
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2007
Last Update Date
12-22-2016
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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)
1320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 

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

DEBRA MUHLSTADT

Authorized Official Title
FISCAL ADMINISTRATOR, SODC OPERATIO
Authorized Official Phone
(815) 288-8335

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
14G045MEDICAID (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 1154453991, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
1
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 5 → 10 → 1 4 → 8 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 0 + 4 + 8 + 5 + 6 + 9 + 1 + 8 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1154453991.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Practice
1000 N MAIN ST
ANNA, IL 62906
Psychologist
1000 N MAIN ST
ANNA, IL 62906
Psychiatry & Neurology (Psychiatry)
1000 N MAIN ST
ANNA, IL 62906
Psychologist
1000 N MAIN ST
ANNA, IL 62906
Psychiatric Hospital
1000 N MAIN ST
ANNA, IL 62906
Anesthesiology (Pain Medicine)
1000 N MAIN ST
ANNA, IL 62906
Dentist
1000 N MAIN ST
ANNA, IL 62906
Psychiatry & Neurology (Psychiatry)
1000 N MAIN ST, CHOATE MENTAL HEALTH HOSPITAL AND DEV CENTER
ANNA, IL 62906
Psychologist (School)
1000 N MAIN ST
ANNA, IL 62906
Licensed Practical Nurse
1000 N MAIN ST
ANNA, IL 62906
Psychiatric Hospital
1000 N MAIN ST
ANNA, IL 62906
Psychiatric Hospital
1000 N MAIN ST
ANNA, IL 62906
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Psychiatric Hospital
1000 N MAIN ST
ANNA, IL 62906
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Nurse's Aide
1000 N MAIN ST
ANNA, IL 62906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154453991, enumerated as an "organization" on March 09, 2007.

The provider is located at 1000 N MAIN ST ANNA, IL 62906 and the phone number is (618) 833-5161.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

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