CHANNAHON HOME DIALYSIS, LLC
NPI 1174015796
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Channahon, IL
Overall Rating: 3 out of 5 stars
NPI Status: Active since May 30, 2018
Contact Information
27025 W EAMES ST
CHANNAHON, IL
ZIP 60410
Phone: (815) 744-5550
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 14D2164209
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-28-2027
About CHANNAHON HOME DIALYSIS, LLC
This page provides the complete NPI Profile along with additional information for Channahon Home Dialysis, Llc, a provider established in Channahon, 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 1174015796 assigned on May 2018. The practitioner's primary taxonomy code is 261QE0700X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Debra Lee Janssen (Adminsitrator)
- NPI
- 1174015796
- Provider Name
- CHANNAHON HOME DIALYSIS, LLC
- Entity Type
- Organization
- Location Address
- 27025 W EAMES ST CHANNAHON, IL 60410
- Location Phone
- (815) 744-5550
- Mailing Address
- 3100 THEODORE ST JOLIET, IL 60435
- Mailing Phone
- (815) 744-5550
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2018
- Last Update Date
- 06-03-2019
- Code Navigator
According to the Dialysis Facility Compare program data, Channahon Home Dialysis, Llc has an average overall quality rating based on the patient's quality of care based on data that dialysis centers report to Medicare. The Quality of Patient Star Rating for this facility is 3 out of 5 stars.
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
Clinic/Center End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
Dialysis Facility Compare Information
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2164209
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- March 29, 2025
- Certificate Expiration Date
- March 28, 2027
- Laboratory Director
- ZDZISLAWA T. MAJKA-KRAVETS M D
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Channahon Home Dialysis, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1174015796, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CHANNAHON, IL 60410
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174015796, enumerated as an "organization" on May 30, 2018.
The provider is located at 27025 W EAMES ST CHANNAHON, IL 60410 and the phone number is (815) 744-5550.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
