AVENUES AT QUAD CITIES LLC
NPI 1760219406
Durable Medical Equipment & Medical Supplies in Silvis, IL

NPI Status: Active since September 17, 2024

Contact Information

1403 9TH AVE
SILVIS, IL
ZIP 61282
Phone: (309) 796-2600

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

Organization
Durable Medical Equipment & Medical Supp...
CLIA Number: 14D2321253
CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
CLIA Exp. Date: 03-31-2027

About AVENUES AT QUAD CITIES LLC

This page provides the complete NPI Profile along with additional information for Avenues At Quad Cities Llc, a provider established in Silvis, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1760219406 assigned on September 2024. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Jennifer Spector (Vp Of Revenue Cycle Management)

NPI: 1760219406
Provider Name: AVENUES AT QUAD CITIES LLC
Entity Type: Organization
Location Address: 1403 9TH AVE SILVIS, IL 61282
Location Phone: (309) 796-2600
Mailing Address: 4655 W CHASE AVE LINCOLNWOOD, IL 60712
Mailing Phone: (847) 262-3800
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-17-2024
Last Update Date: 09-17-2024
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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: Durable Medical Equipment & Medical Supplies
Taxonomy Code: 332B00000X
Type: Suppliers
Taxonomy Description: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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: JENNIFER SPECTOR
Authorized Official Title: VP OF REVENUE CYCLE MANAGEMENT
Authorized Official Phone: (847) 262-3800

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: 14D2321253
Facility Type: Skilled Nursing Facility/Nursing Facility
Certificate Effective Date: April 01, 2025
Certificate Expiration Date: March 31, 2027
Laboratory Director: KENDEL BROOKS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Avenues At Quad Cities Llc 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.

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	6	0	2	1	9	4	0	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	12	0	4	1	18	4	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 4 + 1 + 1 + 8 + 4 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6									6

The NPI number 1760219406 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.