INNOVATIVE SENIOR CARE HOME HEALTH OF CHICAGO, LLC
NPI 1417622705
Clinic/Center - Physical Therapy in Oak Park, IL
NPI Status: Active since August 10, 2021
Contact Information
1111 ONTARIO ST
OAK PARK, IL
ZIP 60302
Phone: (708) 934-7149
Fax: (708) 934-7148
- Organization
- Clinic/Center
- Physical Therapy
- CLIA Number: 14D2075081
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 05-02-2026
About INNOVATIVE SENIOR CARE HOME HEALTH OF CHICAGO, LLC
This page provides the complete NPI Profile along with additional information for Innovative Senior Care Home Health Of Chicago, Llc, a provider established in Oak Park, Illinois operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1417622705 assigned on August 2021. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated January 2026. Innovative Senior Care Home Health Of Chicago, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1417622705
- Provider Legal Name
- INNOVATIVE SENIOR CARE HOME HEALTH OF CHICAGO, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1111 ONTARIO ST OAK PARK, IL 60302
- Location Phone
- (708) 934-7149
- Location Fax
- (708) 934-7148
- Mailing Address
- PO BOX 51266 LAFAYETTE, LA 70505
- Mailing Phone
- (337) 233-1307
- Mailing Fax
- (708) 934-7148
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-10-2021
- Last Update Date
- 01-30-2026
- 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
Clinic/Center Physical Therapy
- Taxonomy Code
- 261QP2000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
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.
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
- 14D2075081
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- May 03, 2024
- Certificate Expiration Date
- May 02, 2026
- Laboratory Director
- TERESA L. OROZCO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Innovative Senior Care Home Health Of Chicago, 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 1417622705, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417622705, enumerated as an "organization" on August 10, 2021.
The provider is located at 1111 ONTARIO ST OAK PARK, IL 60302 and the phone number is (708) 934-7149.
Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.
