LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
NPI 1487751277
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Niles, MI

NPI Status: Active since September 20, 2006

Contact Information

8 LONG MEADOW VILLAGE DR
NILES, MI
ZIP 49120
Phone: (269) 428-7481
Fax: (269) 428-7477

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  • Organization
  • Clinic/Center
  • End-Stage Renal Disease (ESRD) Treatment
  • CLIA Number: 23D0692909
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-31-2026

About LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC

This page provides the complete NPI Profile along with additional information for Lakeland Hospitals At Niles And St Joseph, Inc, a provider established in Niles, Michigan operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1487751277 assigned on September 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 110050 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Tim Calhoun (Vp Finance/cfo)

NPI
1487751277
Provider Name
LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC
Entity Type
Organization
Location Address
8 LONG MEADOW VILLAGE DR NILES, MI 49120
Location Phone
(269) 428-7481
Location Fax
(269) 428-7477
Mailing Address
PO BOX 410 SAINT JOSEPH, MI 49085
Mailing Phone
(269) 428-2574
Mailing Fax
(269) 428-7477
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-20-2006
Last Update Date
04-09-2018
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According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 10-01-1988 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

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 End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code
261QE0700X
Type
Ambulatory Health Care Facilities
License No.
110050
License State
MI

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.

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. TIM CALHOUN

Authorized Official Title
VP FINANCE/CFO
Authorized Official Phone
(269) 983-8300

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
00219OTHER (01)BLUE CROSS
5236141MEDICAID (05)MI 

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • LAKELAND HOSPITALS AT NILES AND ST JOSEPH, INC has an ownership type of Non-profit
  • The facility received it's medicare certification date on 10-01-1988
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditionsNot Available - Data not available for this reporting period.
Brain disease or condition (non-traumatic)Not Available - Data not available for this reporting period.
Brain injury (traumatic)Not Available - Data not available for this reporting period.
Hip or femur fractureNot Available - Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint conditionNot Available - Data not available for this reporting period.
Nervous system disorder (excluding stroke)Not Available - Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)Not Available - Data not available for this reporting period.
Spinal cord injury (traumatic)Not Available - Data not available for this reporting period.
StrokeNot Available - Data not available for this reporting period.

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
23D0692909
Facility Type
Physician Office
Certificate Effective Date
June 01, 2024
Certificate Expiration Date
May 31, 2026
Laboratory Director
SHARON P. DESKINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lakeland Hospitals At Niles And St Joseph, Inc 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 1487751277, 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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
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 8 → 16 → 7 7 → 14 → 5 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 6 + 7 + 1 + 4 + 5 + 2 + 2 + 1 + 4 + 24 = 63

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.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1487751277.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487751277, enumerated as an "organization" on September 20, 2006.

The provider is located at 8 LONG MEADOW VILLAGE DR NILES, MI 49120 and the phone number is (269) 428-7481.

Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.

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