COLUMBUS MANOR RESIDENTIAL CARE HOME
NPI 1639348691
Intermediate Care Facility, Mental Illness in Chicago, IL
NPI Status: Active since February 25, 2008
Contact Information
5107-21 WEST JACKSON BLVD
CHICAGO, IL
ZIP 60644
Phone: (773) 378-5490
Fax: (773) 378-7860
- Organization
- Intermediate Care Facility, Mental Illne...
- Accepts Insurance
About COLUMBUS MANOR RESIDENTIAL CARE HOME
This page provides the complete NPI Profile along with additional information for Columbus Manor Residential Care Home, a provider established in Chicago, Illinois operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1639348691 assigned on February 2008. The practitioner's primary taxonomy code is 310500000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Columbus Manor Residential Care Home. The authorized official of this NPI record is Mr. Afzal Lokhandwala (President)
- NPI
- 1639348691
- Provider Legal Name
- YSL CARE, INC
- Other Organization Name
- COLUMBUS MANOR RESIDENTIAL CARE HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5107-21 WEST JACKSON BLVD CHICAGO, IL 60644
- Location Phone
- (773) 378-5490
- Location Fax
- (773) 378-7860
- Mailing Address
- 5107-21 WEST JACKSON BLVD CHICAGO, IL 60644
- Mailing Phone
- (773) 378-5490
- Mailing Fax
- (773) 378-7860
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-25-2008
- Last Update Date
- 10-06-2016
- 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
Intermediate Care Facility, Mental Illness
- Taxonomy Code
- 310500000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | 0007781 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
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.
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 |
|---|---|---|---|
| 14E147 | MEDICARE OSCAR/CERTIFICATION (06) | IL | |
| 362673116001 | MEDICAID (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. | |||||||||
| 1 | 6 | 3 | 9 | 3 | 4 | 8 | 6 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 6 | 4 | 16 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 6 + 4 + 1 + 6 + 6 + 1 + 8 + 24 = 79 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 79 = 1 | 1 | ||||||||
The NPI number 1639348691 is valid because the calculated check digit 1 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 1639348691, enumerated as an "organization" on February 25, 2008.
The provider is located at 5107-21 WEST JACKSON BLVD CHICAGO, IL 60644 and the phone number is (773) 378-5490.
Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.
