WESLEY WILLOWS OUTPATIENT REHAB CLINIC
NPI 1558538967
Clinic/Center - Rehabilitation in Rockford, IL
NPI Status: Active since May 14, 2008
Contact Information
4143 ALBRIGHT LANE
ROCKFORD, IL
ZIP 61103
Phone: (815) 316-1518
- Organization
- Clinic/Center
- Rehabilitation
- CLIA Number: 14D0875828
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 09-01-2027
About WESLEY WILLOWS OUTPATIENT REHAB CLINIC
This page provides the complete NPI Profile along with additional information for Wesley Willows Outpatient Rehab Clinic, a provider established in Rockford, Illinois operating as a Clinic/center, focusing in rehabilitation . The healthcare provider is registered in the NPI registry with number 1558538967 assigned on May 2008. The practitioner's primary taxonomy code is 261QR0400X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Wesley Willows Outpatient Rehab Clinic. The authorized official of this NPI record is Mark A Ticknor (Cfo)
- NPI
- 1558538967
- Provider Legal Name
- WILLOWS HEALTH CENTER
- Other Organization Name
- WESLEY WILLOWS OUTPATIENT REHAB CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4143 ALBRIGHT LANE ROCKFORD, IL 61103
- Location Phone
- (815) 316-1518
- Mailing Address
- 4141 N ROCKTON AVE ROCKFORD, IL 61103
- Mailing Phone
- (815) 316-1518
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2008
- Last Update Date
- 05-14-2008
- 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 Rehabilitation
- Taxonomy Code
- 261QR0400X
- Type
- Ambulatory Health Care Facilities
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
- 14D0875828
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 02, 2025
- Certificate Expiration Date
- September 01, 2027
- Laboratory Director
- CAROLE ZULL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wesley Willows Outpatient Rehab Clinic 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 1558538967, 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.
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 63 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558538967, enumerated as an "organization" on May 14, 2008.
The provider is located at 4143 ALBRIGHT LANE ROCKFORD, IL 61103 and the phone number is (815) 316-1518.
Clinic/Center with taxonomy code 261QR0400X and a focus in Rehabilitation.
