ALVIN EADES CENTER, INC.
NPI 1609045897
Intermediate Care Facility, Intellectual Disabilities in Jacksonville, IL

NPI Status: Active since February 21, 2008

Contact Information

1000A W MICHIGAN AVE
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 245-9898
Fax: (217) 243-7966

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About ALVIN EADES CENTER, INC.

This page provides the complete NPI Profile along with additional information for Alvin Eades Center, Inc., a provider established in Jacksonville, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1609045897 assigned on February 2008. The practitioner's primary taxonomy code is 315P00000X with license number 0040220 (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Brad Barnes (Executive Director)

NPI
1609045897
Provider Name
ALVIN EADES CENTER, INC.
Entity Type
Organization
Location Address
1000A W MICHIGAN AVE JACKSONVILLE, IL 62650
Location Phone
(217) 245-9898
Location Fax
(217) 243-7966
Mailing Address
905 W SUPERIOR AVE JACKSONVILLE, IL 62650
Mailing Phone
(217) 245-9898
Mailing Fax
(217) 243-7966
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-21-2008
Last Update Date
08-24-2016
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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.
0040220
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. BRAD BARNES

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(217) 245-9898

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
1710432968MEDICAID (05)IL 

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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.
1609045897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26090410818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 4 + 1 + 0 + 8 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1609045897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609045897, enumerated as an "organization" on February 21, 2008.

The provider is located at 1000A W MICHIGAN AVE JACKSONVILLE, IL 62650 and the phone number is (217) 245-9898.

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.