RESIDENTIAL PALLIATIVE CARE OF SOUTHERN ILLINOIS
NPI 1437610011
Nurse Practitioner - Adult Health in Glen Carbon, IL
NPI Status: Active since March 27, 2019
Contact Information
4215 S STATE ROUTE 159
GLEN CARBON, IL
ZIP 62034
Phone: (800) 358-8227
Fax: (888) 229-8388
- Organization
- Nurse Practitioner
- Adult Health
- Accepts Insurance
- CLIA Number: 14D0964864
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 09-06-2025
About RESIDENTIAL PALLIATIVE CARE OF SOUTHERN ILLINOIS
This page provides the complete NPI Profile along with additional information for Residential Palliative Care Of Southern Illinois, a provider established in Glen Carbon, Illinois operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1437610011 assigned on March 2019. The practitioner's primary taxonomy code is 363LA2200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Residential Palliative Care Of Southern Illinois. The authorized official of this NPI record is Justin Dewitte (Ceo)
- NPI
- 1437610011
- Provider Legal Name
- RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC
- Other Organization Name
- RESIDENTIAL PALLIATIVE CARE OF SOUTHERN ILLINOIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4215 S STATE ROUTE 159 GLEN CARBON, IL 62034
- Location Phone
- (800) 358-8227
- Location Fax
- (888) 229-8388
- Mailing Address
- 5440 CORPORATE DR STE 400 TROY, MI 48098
- Mailing Phone
- (866) 902-4000
- Mailing Fax
- (888) 229-8388
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-27-2019
- Last Update Date
- 06-28-2019
- Code Navigator
A nurse practitioner (NP) like Residential Palliative Care Of Southern Illinois is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
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
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 14D0964864
- Facility Type
- Home Health Agency
- Certificate Effective Date
- September 07, 2023
- Certificate Expiration Date
- September 06, 2025
- Laboratory Director
- CHRISTINE KONIAK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Residential Palliative Care Of Southern Illinois 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.
Reviews for RESIDENTIAL PALLIATIVE CARE OF SOUTHERN ILLINOIS
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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. | |||||||||
| 1 | 4 | 3 | 7 | 6 | 1 | 0 | 0 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 12 | 1 | 0 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 1 + 2 + 1 + 0 + 0 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1437610011 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
RESIDENTIAL HOSPICE OF SOUTHERN ILLINOIS, LLC
Hospice Care, Community Based
4215 S STATE ROUTE 159
GLEN CARBON, IL
ZIP 62034
RESIDENTIAL HOME HEALTH OF SOUTHERN ILLINOIS, LLC
Home Health
4215 S STATE ROUTE 159
GLEN CARBON, IL
ZIP 62034
AMBER BOND
Occupational Therapist
4215 S STATE ROUTE 159
GLEN CARBON, IL
ZIP 62034
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437610011, enumerated as an "organization" on March 27, 2019.
The provider is located at 4215 S STATE ROUTE 159 GLEN CARBON, IL 62034 and the phone number is (800) 358-8227.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to verify.
