TRI-STATE NURSING & REHABILITATION CENTER INC
NPI 1831214154
Nursing Facility/Intermediate Care Facility in Lansing, IL

NPI Status: Active since March 20, 2007

Contact Information

2500 175TH ST
LANSING, IL
ZIP 60438
Phone: (708) 474-7330
Fax: (708) 474-7391

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 14D0974262
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 05-31-2028

About TRI-STATE NURSING & REHABILITATION CENTER INC

This page provides the complete NPI Profile along with additional information for Tri-state Nursing & Rehabilitation Center Inc, a provider established in Lansing, Illinois operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1831214154 assigned on March 2007. The practitioner's primary taxonomy code is 313M00000X with license number 0041186 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mark Steinberg (Chief Operating Officer)

NPI
1831214154
Provider Name
TRI-STATE NURSING & REHABILITATION CENTER INC
Entity Type
Organization
Location Address
2500 175TH ST LANSING, IL 60438
Location Phone
(708) 474-7330
Location Fax
(708) 474-7391
Mailing Address
2500 175TH ST LANSING, IL 60438
Mailing Phone
(708) 474-7330
Mailing Fax
(708) 474-7391
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-20-2007
Last Update Date
12-11-2009
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
0041186
License State
IL
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1314000000XNursing & Custodial Care Facilities

Skilled Nursing Facility

0041186 (IL)

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.

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

MARK STEINBERG

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(847) 905-3000

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
14-5879MEDICARE ID-TYPE UNSPECIFIED (04)IL 
1230OTHER (01)ILBLUE CROSS BLUE SHIELD
=========001MEDICAID (05)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
14D0974262
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
June 01, 2026
Certificate Expiration Date
May 31, 2028
Laboratory Director
JANICE PIERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tri-state Nursing & Rehabilitation 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 1831214154, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 6 + 1 + 4 + 1 + 8 + 1 + 1 + 0 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1831214154.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Occupational Therapy Assistant
2500 175TH ST
LANSING, IL 60438
Speech-Language Pathologist
2500 175TH ST
LANSING, IL 60438
Physical Therapy Assistant
2500 175TH ST
LANSING, IL 60438
Physical Therapist
2500 175TH ST
LANSING, IL 60438
Technician, Other
2500 175TH ST
LANSING, IL 60438
Physical Therapy Assistant
2500 175TH ST
LANSING, IL 60438
Speech-Language Pathologist
2500 175TH ST
LANSING, IL 60438
Skilled Nursing Facility
2500 175TH ST
LANSING, IL 60438
Occupational Therapy Assistant
2500 175TH ST
LANSING, IL 60438
Physical Therapy Assistant
2500 175TH ST
LANSING, IL 60438
Nurse Practitioner (Family)
2500 175TH ST
LANSING, IL 60438

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831214154, enumerated as an "organization" on March 20, 2007.

The provider is located at 2500 175TH ST LANSING, IL 60438 and the phone number is (708) 474-7330.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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