ILLINOIS MENTOR COMMUNITY SERVICES LLC
NPI 1821435801
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Matteson, IL

NPI Status: Active since May 30, 2013

Contact Information

600 HOLIDAY PLAZA DR
SUITE 400
MATTESON, IL
ZIP 60443
Phone: (708) 679-9137
Fax: (708) 503-6267

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About ILLINOIS MENTOR COMMUNITY SERVICES LLC

This page provides the complete NPI Profile along with additional information for Illinois Mentor Community Services Llc, a provider established in Matteson, Illinois operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1821435801 assigned on May 2013. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Illinois Mentor Community Services Llc. The authorized official of this NPI record is David Hautanen (Business Director)

NPI
1821435801
Provider Legal Name
NATIONAL MENTOR HOLDINGS INC
Other Organization Name
ILLINOIS MENTOR COMMUNITY SERVICES LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 HOLIDAY PLAZA DR SUITE 400 MATTESON, IL 60443
Location Phone
(708) 679-9137
Location Fax
(708) 503-6267
Mailing Address
2005 W BELTLINE HWY SUITE 203 MADISON, WI 53713
Mailing Phone
(608) 276-1191
Mailing Fax
(708) 503-6267
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2013
Last Update Date
06-27-2013
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental 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

DAVID HAUTANEN

Authorized Official Title
BUSINESS DIRECTOR
Authorized Official Phone
(608) 276-1194

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
=========MEDICAID (05)IL 
461224998MEDICAID (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 1821435801, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 8 + 3 + 1 + 0 + 8 + 0 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1821435801.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Pharmacy
600 HOLIDAY PLAZA DR, SUITE160 B
MATTESON, IL 60443
Internal Medicine
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Social Worker (Clinical)
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Nurse Practitioner (Family)
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Foster Care Agency
600 HOLIDAY PLAZA DR, SUITE 400
MATTESON, IL 60443
Assistant Behavior Analyst
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Behavior Analyst
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Behavior Technician
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Behavior Technician
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Behavior Technician
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Nursing Care
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Behavior Analyst
600 HOLIDAY PLAZA DR
MATTESON, IL 60443

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821435801, enumerated as an "organization" on May 30, 2013.

The provider is located at 600 HOLIDAY PLAZA DR SUITE 400 MATTESON, IL 60443 and the phone number is (708) 679-9137.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

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