AMOUR-PROPRE ESTHETE COLLECTIVE
NPI 1215698527
Point of Service in Chicago, IL

NPI Status: Active since January 08, 2022

Contact Information

312 W 52ND PL
CHICAGO, IL
ZIP 60609
Phone: (773) 956-4603

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  • Organization
  • Point of Service
  • CLIA Number: 14D2238735
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 10-05-2025

About AMOUR-PROPRE ESTHETE COLLECTIVE

This page provides the complete NPI Profile along with additional information for Amour-propre Esthete Collective, a provider established in Chicago, Illinois operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1215698527 assigned on January 2022. The practitioner's primary taxonomy code is 305S00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Shauntelle Henderson (Owner)

NPI
1215698527
Provider Name
AMOUR-PROPRE ESTHETE COLLECTIVE
Entity Type
Organization
Location Address
312 W 52ND PL CHICAGO, IL 60609
Location Phone
(773) 956-4603
Mailing Address
304 S JONES BLVD STE 2440 LAS VEGAS, NV 89107
Mailing Phone
(773) 956-4603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2022
Last Update Date
01-08-2022
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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)
1251J00000XAgencies

Nursing Care

 

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

SHAUNTELLE HENDERSON

Authorized Official Title
OWNER
Authorized Official Phone
(773) 956-4603

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
14D2238735
Facility Type
Mobile Laboratory
Certificate Effective Date
October 06, 2023
Certificate Expiration Date
October 05, 2025
Laboratory Director
SHAUNTELLE S. HENDERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Amour-propre Esthete Collective 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 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.
1215698527
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251291654
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 9 + 1 + 6 + 5 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1215698527 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

SHAUNTELLE HENDERSON LPN

Licensed Practical Nurse

312 W 52ND PL
CHICAGO, IL
ZIP 60609

(773) 956-4603

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215698527, enumerated as an "organization" on January 08, 2022.

The provider is located at 312 W 52ND PL CHICAGO, IL 60609 and the phone number is (773) 956-4603.

Point of Service with taxonomy code 305S00000X.