OTTAWA GROUP HOME
NPI 1295067247
Intermediate Care Facility, Intellectual Disabilities in Dixon, IL
NPI Status: Active since February 02, 2010
Contact Information
726 N OTTAWA AVE
DIXON, IL
ZIP 61021
Phone: (815) 288-7397
- Organization
- Intermediate Care Facility, Intellectual...
- CLIA Number: 14D1048026
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 11-20-2025
About OTTAWA GROUP HOME
This page provides the complete NPI Profile along with additional information for Ottawa Group Home, a provider established in Dixon, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1295067247 assigned on February 2010. The practitioner's primary taxonomy code is 315P00000X with license number 39065 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Ottawa Group Home. The authorized official of this NPI record is Mr. Jeffrey J Stauter (Executive Director)
- NPI
- 1295067247
- Provider Legal Name
- KREIDER SERVICES INC
- Other Organization Name
- OTTAWA GROUP HOME
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 726 N OTTAWA AVE DIXON, IL 61021
- Location Phone
- (815) 288-7397
- Mailing Address
- PO BOX 366 DIXON, IL 61021
- Mailing Phone
- (815) 288-6691
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-02-2010
- Last Update Date
- 07-26-2016
- Code Navigator
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
- License No.
- 39065
- License State
- IL
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
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
- 14D1048026
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- November 21, 2023
- Certificate Expiration Date
- November 20, 2025
- Laboratory Director
- SELENA A. MULNIX
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ottawa Group Home 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 1295067247, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295067247, enumerated as an "organization" on February 02, 2010.
The provider is located at 726 N OTTAWA AVE DIXON, IL 61021 and the phone number is (815) 288-7397.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
