EVERGREEN PLACE SUPPORTIVE LIVING FACILITY
NPI 1710156609
Assisted Living Facility in Beardstown, IL
NPI Status: Active since February 25, 2008
Contact Information
8570 SAINT LUKES DR
BEARDSTOWN, IL
ZIP 62618
Phone: (217) 323-4055
Fax: (217) 323-9454
- Organization
- Assisted Living Facility
About EVERGREEN PLACE SUPPORTIVE LIVING FACILITY
This page provides the complete NPI Profile along with additional information for Evergreen Place Supportive Living Facility, a provider established in Beardstown, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1710156609 assigned on February 2008. The practitioner's primary taxonomy code is 310400000X with license number 1825445 (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 Evergreen Place Supportive Living Facility. The authorized official of this NPI record is Mr. Craig L Ater (Senior V. P. Of Finance)
- NPI
- 1710156609
- Provider Legal Name
- HERITAGE ENTERPRISES, INC.
- Other Organization Name
- EVERGREEN PLACE SUPPORTIVE LIVING FACILITY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 8570 SAINT LUKES DR BEARDSTOWN, IL 62618
- Location Phone
- (217) 323-4055
- Location Fax
- (217) 323-9454
- Mailing Address
- 115 W JEFFERSON ST SUITE 401 BLOOMINGTON, IL 61701
- Mailing Phone
- (309) 823-7155
- Mailing Fax
- (217) 323-9454
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-25-2008
- Last Update Date
- 04-20-2008
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 1825445
- License State
- IL
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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.
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 |
|---|---|---|---|
| =========028 | MEDICAID (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 1710156609, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710156609, enumerated as an "organization" on February 25, 2008.
The provider is located at 8570 SAINT LUKES DR BEARDSTOWN, IL 62618 and the phone number is (217) 323-4055.
Assisted Living Facility with taxonomy code 310400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
