PARK LAWN CENTER
NPI 1467761312
Intermediate Care Facility, Intellectual Disabilities in Oak Lawn, IL

NPI Status: Active since September 27, 2010

Contact Information

10833 LAPORTE AVE
OAK LAWN, IL
ZIP 60453
Phone: (708) 425-3344
Fax: (708) 425-3530

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 14D0935010
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 10-19-2027

About PARK LAWN CENTER

This page provides the complete NPI Profile along with additional information for Park Lawn Center, a provider established in Oak Lawn, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1467761312 assigned on September 2010. The practitioner's primary taxonomy code is 315P00000X with license number 0027078 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. James R. Weise (Executive Director)

NPI
1467761312
Provider Name
PARK LAWN CENTER
Entity Type
Organization
Location Address
10833 LAPORTE AVE OAK LAWN, IL 60453
Location Phone
(708) 425-3344
Location Fax
(708) 425-3530
Mailing Address
5831 W 115TH ST ALSIP, IL 60803
Mailing Phone
(708) 396-1117
Mailing Fax
(708) 425-3530
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-27-2010
Last Update Date
09-27-2010
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
0027078
License State
IL
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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.

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

MR. JAMES R. WEISE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(708) 425-3344

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
0027078MEDICAID (05)IL 

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
14D0935010
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
October 20, 2025
Certificate Expiration Date
October 19, 2027
Laboratory Director
AMY M. PITT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Park Lawn Center 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 1467761312, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 6 → 12 → 3 7 → 14 → 5 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 1 + 4 + 6 + 2 + 3 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1467761312.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Intermediate Care Facility, Intellectual Disabilities
10833 LAPORTE AVE
OAK LAWN, IL 60453
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
10833 LAPORTE AVE
OAK LAWN, IL 60453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467761312, enumerated as an "organization" on September 27, 2010.

The provider is located at 10833 LAPORTE AVE OAK LAWN, IL 60453 and the phone number is (708) 425-3344.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.