PROVIDENCE PALOS HEIGHTS
NPI 1174525422
Skilled Nursing Facility in Palos Heights, IL

NPI Status: Active since June 01, 2005

Contact Information

13259 S CENTRAL AVE
PALOS HEIGHTS, IL
ZIP 60463
Phone: (708) 597-1000
Fax: (708) 597-1000

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  • Organization
  • Skilled Nursing Facility

About PROVIDENCE PALOS HEIGHTS

This page provides the complete NPI Profile along with additional information for Providence Palos Heights, a provider established in Palos Heights, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1174525422 assigned on June 2005. The practitioner's primary taxonomy code is 314000000X with license number 0028605 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Providence Palos Heights. The authorized official of this NPI record is Mrs. Johanna R Zandstra (Compliance Officer)

NPI
1174525422
Provider Legal Name
PROVIDENCE OPERATIONS, LLC
Other Organization Name
PROVIDENCE PALOS HEIGHTS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
13259 S CENTRAL AVE PALOS HEIGHTS, IL 60463
Location Phone
(708) 597-1000
Location Fax
(708) 597-1000
Mailing Address
18601 N CREEK DR TINLEY PARK, IL 60477
Mailing Phone
(708) 342-8100
Mailing Fax
(708) 597-1000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2005
Last Update Date
09-23-2015
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
0028605
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.

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

MRS. JOHANNA R ZANDSTRA

Authorized Official Title
COMPLIANCE OFFICER
Authorized Official Phone
(708) 342-8137

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
145681MEDICARE ID-TYPE UNSPECIFIED (04)IL 
362382853002MEDICAID (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 1174525422, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
2
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 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 4 + 4 + 1 + 0 + 2 + 1 + 0 + 4 + 4 + 24 = 48

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

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1174525422.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Skilled Nursing Facility
13259 S CENTRAL AVE
PALOS HEIGHTS, IL 60463
Physical Medicine & Rehabilitation
13259 S CENTRAL AVE
PALOS HEIGHTS, IL 60463
Occupational Therapist
13259 S CENTRAL AVE
PALOS HEIGHTS, IL 60463

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174525422, enumerated as an "organization" on June 01, 2005.

The provider is located at 13259 S CENTRAL AVE PALOS HEIGHTS, IL 60463 and the phone number is (708) 597-1000.

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.