FLOSSMOOR TERRACE
NPI 1710150354
Intermediate Care Facility, Intellectual Disabilities in Flossmoor, IL

NPI Status: Active since April 03, 2008

Contact Information

3951 W 190TH STREET
FLOSSMOOR, IL
ZIP 60422
Phone: (708) 922-1373
Fax: (708) 922-1352

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About FLOSSMOOR TERRACE

This page provides the complete NPI Profile along with additional information for Flossmoor Terrace, a provider established in Flossmoor, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1710150354 assigned on April 2008. The practitioner's primary taxonomy code is 315P00000X with license number 43232 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Flossmoor Terrace. The authorized official of this NPI record is Mr. Ronald J Wilson (Authorized Agent)

NPI
1710150354
Provider Legal Name
PIONEER CONCEPTS INC
Other Organization Name
FLOSSMOOR TERRACE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3951 W 190TH STREET FLOSSMOOR, IL 60422
Location Phone
(708) 922-1373
Location Fax
(708) 922-1352
Mailing Address
285 SOUTH FARNHAM STREET GALESBURG, IL 61401
Mailing Phone
(309) 343-1550
Mailing Fax
(708) 922-1352
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-03-2008
Last Update Date
04-20-2008
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
43232
License State
IL
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

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

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.

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

MR. RONALD J WILSON

Authorized Official Title
AUTHORIZED AGENT
Authorized Official Phone
(309) 343-1550

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
=========004MEDICAID (05)IL 

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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 1710150354, we treat the final digit (4) 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 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

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
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
4
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 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 2 + 5 + 0 + 3 + 1 + 0 + 24 = 46

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

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1710150354.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710150354, enumerated as an "organization" on April 03, 2008.

The provider is located at 3951 W 190TH STREET FLOSSMOOR, IL 60422 and the phone number is (708) 922-1373.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.