HOLY CROSS HEALTH PARTNERS
NPI 1619008935
Health Maintenance Organization in Hillside, IL

NPI Status: Active since March 08, 2007

Contact Information

4415 HARRISON ST
300
HILLSIDE, IL
ZIP 60162
Phone: (708) 432-4000
Fax: (708) 432-4077

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  • Organization
  • Health Maintenance Organization
  • Accepts Insurance

About HOLY CROSS HEALTH PARTNERS

This page provides the complete NPI Profile along with additional information for Holy Cross Health Partners, a provider established in Hillside, Illinois operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1619008935 assigned on March 2007. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ms. Melodi Biggane (Executive Director)

NPI
1619008935
Provider Name
HOLY CROSS HEALTH PARTNERS
Entity Type
Organization
Location Address
4415 HARRISON ST 300 HILLSIDE, IL 60162
Location Phone
(708) 432-4000
Location Fax
(708) 432-4077
Mailing Address
4415 HARRISON ST 300 HILLSIDE, IL 60162
Mailing Phone
(708) 432-4000
Mailing Fax
(708) 432-4077
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2007
Last Update Date
08-22-2020
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

Insurance Plans Accepted

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

  • Anthem Bronze Preferred Blue PPO 6000/20%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
  • Anthem Bronze Preferred Blue PPO 7500/30%/10000 Value - PPO
  • Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
  • Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
  • Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
  • Anthem Gold Preferred Blue PPO 3000/0%/7500 RxD - PPO
  • Anthem Gold Preferred Blue PPO 500/30%/9000 - PPO
  • Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
  • Anthem Silver Preferred Blue PPO 2500/30%/10000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
  • Anthem Silver Preferred Blue PPO 3500/20%/10000 - PPO
  • Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/9000 - PPO
  • Anthem Silver Preferred Blue PPO 4000/0%/9000 RxD - PPO
  • Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
  • Anthem Silver Preferred Blue PPO 4000/20%/8500 - PPO
  • Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
  • Anthem Bronze Pathway X Enhanced 7000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Catastrophic Pathway X Enhanced - HMO
  • Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Gold Pathway X Enhanced 2000/25% ($0 Virtual PCP + $0 Select Drug) Standard - HMO
  • Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
  • Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Bronze Pathway X HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Pathway X HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Pathway X HMO 8500/50%/9200 - HMO

*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. MELODI BIGGANE

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(708) 432-0010

Reviews for HOLY CROSS HEALTH PARTNERS

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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 1619008935, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 1 → 2 0 → 0 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 0 + 0 + 1 + 6 + 9 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1619008935.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Home Health
4415 HARRISON ST, SUITE 403
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
In Home Supportive Care
4415 HARRISON ST, SUITE 405
HILLSIDE, IL 60162
Nurse Practitioner (Gerontology)
4415 HARRISON ST
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300, C-O NORTH AMERICAN MEDICAL MANAGEMENT
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
Health Maintenance Organization
4415 HARRISON ST, SUITE 300
HILLSIDE, IL 60162
Family Medicine
4415 HARRISON ST
HILLSIDE, IL 60162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619008935, enumerated as an "organization" on March 08, 2007.

The provider is located at 4415 HARRISON ST 300 HILLSIDE, IL 60162 and the phone number is (708) 432-4000.

Health Maintenance Organization with taxonomy code 302R00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld and Anthem Blue. Please consult your insurance carrier or call the provider to verify.