KINDRED THC NORTH SHORE, LLC
NPI 1700492014
Long Term Care Hospital in Chicago, IL

NPI Status: Active since September 22, 2020

Contact Information

4058 W MELROSE ST
CHICAGO, IL
ZIP 60641
Phone: (773) 736-7000
Fax: (773) 202-4355

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

Organization
Long Term Care Hospital

About KINDRED THC NORTH SHORE, LLC

This page provides the complete NPI Profile along with additional information for Kindred Thc North Shore, Llc, a provider established in Chicago, Illinois operating as a Long Term Care Hospital. The healthcare provider is registered in the NPI registry with number 1700492014 assigned on September 2020. The practitioner's primary taxonomy code is 282E00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Terrance K Dillon (Assistant Secretary)

NPI: 1700492014
Provider Name: KINDRED THC NORTH SHORE, LLC
Entity Type: Organization
Location Address: 4058 W MELROSE ST CHICAGO, IL 60641
Location Phone: (773) 736-7000
Location Fax: (773) 202-4355
Mailing Address: 4058 W MELROSE ST CHICAGO, IL 60641
Mailing Phone: (773) 736-7000
Mailing Fax: (773) 202-4355
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-22-2020
Last Update Date: 09-22-2020
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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: Long Term Care Hospital
Taxonomy Code: 282E00000X
Type: Hospitals
Taxonomy Description: Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.

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: TERRANCE K DILLON
Authorized Official Title: ASSISTANT SECRETARY
Authorized Official Phone: (502) 596-7220

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	7	0	0	4	9	2	0	1	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	0	0	8	9	4	0	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 8 + 9 + 4 + 0 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1700492014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 5 providers are registered at the same or nearby location.

PF DEVELOPMENT 6 LLC

Clinic/Center

(Rehabilitation)