ILL LEARNING LAB
NPI 1609097476
Residential Treatment Facility, Emotionally Disturbed Children in Fairbanks, AK

NPI Status: Active since May 01, 2007

Contact Information

209 FORTY MILE AVE
SUITE #100
FAIRBANKS, AK
ZIP 99701
Phone: (907) 456-6445
Fax: (907) 456-6402

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Residential Treatment Facility, Emotiona...

About ILL LEARNING LAB

This page provides the complete NPI Profile along with additional information for Ill Learning Lab, a provider established in Fairbanks, Alaska operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1609097476 assigned on May 2007. The practitioner's primary taxonomy code is 322D00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Ill Learning Lab. The authorized official of this NPI record is Ms. Drenda Tigner Ma (Excutive Director)

NPI: 1609097476
Provider Legal Name: PRESBYTERIAN HOSPITALITY HOUSE
Other Organization Name: ILL LEARNING LAB
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 209 FORTY MILE AVE SUITE #100 FAIRBANKS, AK 99701
Location Phone: (907) 456-6445
Location Fax: (907) 456-6402
Mailing Address: 209 FORTY MILE AVE SUITE #100 FAIRBANKS, AK 99701
Mailing Phone: (907) 456-6445
Mailing Fax: (907) 456-6402
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-01-2007
Last Update Date: 07-21-2022
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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: Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy Code: 322D00000X
Type: Residential Treatment Facilities
License State: AK
Taxonomy Description: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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: MS. DRENDA TIGNER MA
Authorized Official Title: EXCUTIVE DIRECTOR
Authorized Official Phone: (907) 456-6445

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
MH2770	MEDICAID (05)	AK

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.
1	6	0	9	0	9	7	4	7	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	0	9	0	9	14	4	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 9 + 1 + 4 + 4 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6									6

The NPI number 1609097476 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

PRESBYTERIAN HOSPITALITY HOUSE

Residential Treatment Facility, Emotionally Disturbed Children

209 FORTY MILE AVE
FAIRBANKS, AK
ZIP 99701

About ILL LEARNING LAB

Location Map

Specialty - Primary Taxonomy

Residential Treatment Facility, Emotionally Disturbed Children

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

MS. DRENDA TIGNER MA

Additional Identifiers

Reviews for ILL LEARNING LAB

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is PRESBYTERIAN HOSPITALITY HOUSE's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does PRESBYTERIAN HOSPITALITY HOUSE accept?