ILLINOIS VETERANS HOME AT MANTENO
NPI 1831248228
Residential Treatment Facility, Physical Disabilities in Manteno, IL

NPI Status: Active since January 09, 2007

Contact Information

1 VETERANS DR
MANTENO, IL
ZIP 60950
Phone: (815) 468-6581
Fax: (815) 468-7001

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  • Organization
  • Residential Treatment Facility, Physical...
  • CLIA Number: 14D1011391
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 04-08-2027

About ILLINOIS VETERANS HOME AT MANTENO

This page provides the complete NPI Profile along with additional information for Illinois Veterans Home At Manteno, a provider established in Manteno, Illinois operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1831248228 assigned on January 2007. The practitioner's primary taxonomy code is 320700000X with license number 0042218 (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 Reginald L Booker Lnha (Administrator)

NPI
1831248228
Provider Name
ILLINOIS VETERANS HOME AT MANTENO
Entity Type
Organization
Location Address
1 VETERANS DR MANTENO, IL 60950
Location Phone
(815) 468-6581
Location Fax
(815) 468-7001
Mailing Address
1 VETERANS DR BLDG A-2M MANTENO, IL 60950
Mailing Phone
(217) 222-9487
Mailing Fax
(815) 468-7001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2007
Last Update Date
07-15-2010
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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

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
License No.
0042218
License State
IL
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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)
1311ZA0620XNursing & Custodial Care Facilities

Custodial Care Facility
Adult Care Home

0042218 (IL)
2332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

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

REGINALD L BOOKER LNHA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(815) 468-6581

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
CI2630MEDICARE PIN (08) 
226040MEDICARE PIN (08) 
04621430OTHER (01)BCBS
0650890001MEDICARE NSC (07) 

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
14D1011391
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
April 09, 2025
Certificate Expiration Date
April 08, 2027
Laboratory Director
TANYA HUSTON SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Illinois Veterans Home At Manteno 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 1831248228, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

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 + 4 + 1 + 6 + 2 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1831248228.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1 VETERANS DR
MANTENO, IL 60950
Internal Medicine
1 VETERANS DR
MANTENO, IL 60950
Nurse Practitioner (Family)
1 VETERANS DR
MANTENO, IL 60950
Physical Therapy Assistant
1 VETERANS DR
MANTENO, IL 60950
Occupational Therapist
1 VETERANS DR
MANTENO, IL 60950
Occupational Therapist
1 VETERANS DR
MANTENO, IL 60950
Social Worker (Clinical)
1 VETERANS DR
MANTENO, IL 60950
Physical Therapist (Geriatrics)
1 VETERANS DR
MANTENO, IL 60950
Speech-Language Pathologist
1 VETERANS DR
MANTENO, IL 60950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831248228, enumerated as an "organization" on January 09, 2007.

The provider is located at 1 VETERANS DR MANTENO, IL 60950 and the phone number is (815) 468-6581.

Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

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