SOUTHWEST COMMUNITY SERVICES, INC.
NPI 1730432733
Clinic/Center - Mental Health (Including Community Mental Health Center) in South Holland, IL
NPI Status: Active since October 16, 2012
Contact Information
58 W 162ND ST
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 825-1986
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 14D2246655
- CLIA Cert. Type: Other - URGENT CARE
- CLIA Exp. Date: 12-27-2025
About SOUTHWEST COMMUNITY SERVICES, INC.
This page provides the complete NPI Profile along with additional information for Southwest Community Services, Inc., a provider established in South Holland, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1730432733 assigned on October 2012. The practitioner's primary taxonomy code is 261QM0801X with license number 04128 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Mary Pat Ambrosino (Executive Director)
- NPI
- 1730432733
- Provider Name
- SOUTHWEST COMMUNITY SERVICES, INC.
- Entity Type
- Organization
- Location Address
- 58 W 162ND ST SOUTH HOLLAND, IL 60473
- Location Phone
- (708) 825-1986
- Mailing Address
- 6775 PROSPERI DR TINLEY PARK, IL 60477
- Mailing Phone
- (708) 429-1260
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-16-2012
- Last Update Date
- 10-16-2012
- 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
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 04128
- License State
- IL
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2246655
- Facility Type
- Other - URGENT CARE
- Certificate Effective Date
- December 28, 2023
- Certificate Expiration Date
- December 27, 2025
- Laboratory Director
- HAMDI KHILFEH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southwest Community Services, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1730432733, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SOUTH HOLLAND, IL 60473
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730432733, enumerated as an "organization" on October 16, 2012.
The provider is located at 58 W 162ND ST SOUTH HOLLAND, IL 60473 and the phone number is (708) 825-1986.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
