COUNTRY COMFORT RETIREMENT HOMES, INC
NPI 1669804811
Alzheimer Center (Dementia Center) in Henry, IL

NPI Status: Active since July 30, 2013

Contact Information

615 PATRICIA LN
HENRY, IL
ZIP 61537
Phone: (309) 364-3607
Fax: (309) 364-4065

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  • Organization
  • Alzheimer Center (Dementia Center)

About COUNTRY COMFORT RETIREMENT HOMES, INC

This page provides the complete NPI Profile along with additional information for Country Comfort Retirement Homes, Inc, a provider established in Henry, Illinois operating as a Alzheimer Center (dementia Center). The healthcare provider is registered in the NPI registry with number 1669804811 assigned on July 2013. The practitioner's primary taxonomy code is 311500000X with license number 5104325 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Sheryl Lynn Pettett Lpn (Owner, Nurse Manager)

NPI
1669804811
Provider Name
COUNTRY COMFORT RETIREMENT HOMES, INC
Entity Type
Organization
Location Address
615 PATRICIA LN HENRY, IL 61537
Location Phone
(309) 364-3607
Location Fax
(309) 364-4065
Mailing Address
PO BOX 186 HENRY, IL 61537
Mailing Phone
(309) 364-3607
Mailing Fax
(309) 364-4065
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-30-2013
Last Update Date
07-30-2013
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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

Alzheimer Center (Dementia Center)

Taxonomy Code
311500000X
Type
Nursing & Custodial Care Facilities
License No.
5104325
License State
IL
Taxonomy Description
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

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)
1310400000XNursing & Custodial Care Facilities

Assisted Living Facility

5104325 (IL)

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

SHERYL LYNN PETTETT LPN

Authorized Official Title
OWNER, NURSE MANAGER
Authorized Official Phone
(309) 364-3607

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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 1669804811, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 6 → 12 → 3 8 → 16 → 7 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 6 + 0 + 8 + 8 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1669804811.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669804811, enumerated as an "organization" on July 30, 2013.

The provider is located at 615 PATRICIA LN HENRY, IL 61537 and the phone number is (309) 364-3607.

Alzheimer Center (Dementia Center) with taxonomy code 311500000X.