RENAISSANCE CARE CENTER, INC
NPI 1801288915
Skilled Nursing Facility - Nursing Care, Pediatric in Canton, IL

NPI Status: Active since February 26, 2015

Contact Information

1675 E ASH ST
CANTON, IL
ZIP 61520
Phone: (309) 647-5631
Fax: (309) 647-8957

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  • Organization
  • Skilled Nursing Facility
  • Nursing Care, Pediatric
  • CLIA Number: 14D0662885
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About RENAISSANCE CARE CENTER, INC

This page provides the complete NPI Profile along with additional information for Renaissance Care Center, Inc, a provider established in Canton, Illinois operating as a Skilled Nursing Facility, focusing in nursing care, pediatric . The healthcare provider is registered in the NPI registry with number 1801288915 assigned on February 2015. The practitioner's primary taxonomy code is 3140N1450X with license number 0040295 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Bradley Alter (Ceo)

NPI
1801288915
Provider Name
RENAISSANCE CARE CENTER, INC
Entity Type
Organization
Location Address
1675 E ASH ST CANTON, IL 61520
Location Phone
(309) 647-5631
Location Fax
(309) 647-8957
Mailing Address
3856 OAKTON ST SUITE 200 SKOKIE, IL 60076
Mailing Phone
(847) 674-4700
Mailing Fax
(309) 647-8957
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2015
Last Update Date
02-26-2015
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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

Skilled Nursing Facility Nursing Care, Pediatric

Taxonomy Code
3140N1450X
Type
Nursing & Custodial Care Facilities
License No.
0040295
License State
IL
Taxonomy Description
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

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

BRADLEY ALTER

Authorized Official Title
CEO
Authorized Official Phone
(847) 674-4700

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
14D0662885
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BONNIE S. BREESE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Renaissance Care Center, 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 1801288915, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 0 → 0 2 → 4 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 4 + 8 + 1 + 6 + 9 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1801288915.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1675 E ASH ST
CANTON, IL 61520
Non-emergency Medical Transport (VAN)
1675 E ASH ST
CANTON, IL 61520
Skilled Nursing Facility
1675 E ASH ST
CANTON, IL 61520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801288915, enumerated as an "organization" on February 26, 2015.

The provider is located at 1675 E ASH ST CANTON, IL 61520 and the phone number is (309) 647-5631.

Skilled Nursing Facility with taxonomy code 3140N1450X and a focus in Nursing Care, Pediatric.