SOUTH SHORE HOSPITAL
NPI 1225479470
Registered Nurse in Chicago, IL
NPI Status: Active since July 16, 2013
Contact Information
8012 S CRANDON AVE
CHICAGO, IL
ZIP 60617
Phone: (773) 356-5200
Fax: (773) 768-8154
- Organization
- Registered Nurse
- CLIA Number: 14D0424913
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-08-2027
About SOUTH SHORE HOSPITAL
This page provides the complete NPI Profile along with additional information for South Shore Hospital, a provider established in Chicago, Illinois operating as a Registered Nurse. The healthcare provider is registered in the NPI registry with number 1225479470 assigned on July 2013. The practitioner's primary taxonomy code is 163W00000X with license number 041.147476 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. South Shore Hospital operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as South Shore Hospital. The authorized official of this NPI record is Mr. Leslie M. Rogers Che (Administrator)
- NPI
- 1225479470
- Provider Legal Name
- SOUTH SHORE HOSPITAL CORPORATION
- Other Organization Name
- SOUTH SHORE HOSPITAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8012 S CRANDON AVE CHICAGO, IL 60617
- Location Phone
- (773) 356-5200
- Location Fax
- (773) 768-8154
- Mailing Address
- 8012 S CRANDON AVE CHICAGO, IL 60617
- Mailing Phone
- (773) 356-5200
- Mailing Fax
- (773) 768-8154
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-16-2013
- Last Update Date
- 12-31-2013
- Code Navigator
A registered nurse (RN) like South Shore Hospital coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
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
Registered Nurse
- Taxonomy Code
- 163W00000X
- Type
- Nursing Service Providers
- License No.
- 041.147476
- License State
- IL
- Taxonomy Description
- (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
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) |
|---|---|---|---|---|
| 1 | 133V00000X | Dietary & Nutritional Service Providers | Dietitian, Registered | 164.004009 (IL) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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.
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 |
|---|---|---|---|
| 1053391359 | MEDICARE PIN (08) | IL | |
| 51204952001 | MEDICAID (05) | IL | |
| 214641 | OTHER (01) | IL | AMERICAN ASSOCIATION OF DIABETES EDUCATORS |
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
- 14D0424913
- Facility Type
- Hospital
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- DR. VERA H. RAY
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to South Shore Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1225479470, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CHICAGO, IL 60617
CHICAGO, IL 60617
CHICAGO, IL 60617
CHICAGO, IL 60617
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225479470, enumerated as an "organization" on July 16, 2013.
The provider is located at 8012 S CRANDON AVE CHICAGO, IL 60617 and the phone number is (773) 356-5200.
Registered Nurse with taxonomy code 163W00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
