SULLIVAN HOUSE
NPI 1477958528
Intermediate Care Facility, Intellectual Disabilities in Ottawa, IL

NPI Status: Active since October 31, 2014

Contact Information

600 GROVER AVE
OTTAWA, IL
ZIP 61350
Phone: (815) 433-5858

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  • Intermediate Care Facility, Intellectual...

About SULLIVAN HOUSE

This page provides the complete NPI Profile along with additional information for Sullivan House, a provider established in Ottawa, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1477958528 assigned on October 2014. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Sullivan House. The authorized official of this NPI record is Mrs. Beth Ann Mangold (Executive Director)

NPI
1477958528
Provider Legal Name
OTTAWA FRIENDSHIP HOUSE WORK ACTIVITY CENTER, INC
Other Organization Name
SULLIVAN HOUSE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 GROVER AVE OTTAWA, IL 61350
Location Phone
(815) 433-5858
Mailing Address
1718 N 2525TH RD OTTAWA, IL 61350
Mailing Phone
(815) 434-0737
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-31-2014
Last Update Date
10-31-2014
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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
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

MRS. BETH ANN MANGOLD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(815) 434-0737

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
14G117MEDICAID (05)IL 

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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 1477958528, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 1 + 8 + 5 + 1 + 6 + 5 + 4 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1477958528.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Intermediate Care Facility, Intellectual Disabilities
600 GROVER AVE
OTTAWA, IL 61350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477958528, enumerated as an "organization" on October 31, 2014.

The provider is located at 600 GROVER AVE OTTAWA, IL 61350 and the phone number is (815) 433-5858.

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.