HEALTHSPRING OF ILLINOIS
NPI 1831511047
Health Maintenance Organization in Nashville, TN

NPI Status: Active since January 08, 2014

Contact Information

530 GREAT CIRCLE RD
NASHVILLE, TN
ZIP 37228
Phone: (832) 553-3375

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  • Health Maintenance Organization

About HEALTHSPRING OF ILLINOIS

This page provides the complete NPI Profile along with additional information for Healthspring Of Illinois, a provider established in Nashville, Tennessee operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1831511047 assigned on January 2014. The practitioner's primary taxonomy code is 302R00000X with license number 12902 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Healthspring Of Illinois. The authorized official of this NPI record is Teresa Jordan (Associate Chief Counsel)

NPI
1831511047
Provider Legal Name
HEALTHSPRING OF TENNESSEE, INC.
Other Organization Name
HEALTHSPRING OF ILLINOIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
530 GREAT CIRCLE RD NASHVILLE, TN 37228
Location Phone
(832) 553-3375
Mailing Address
530 GREAT CIRCLE RD NASHVILLE, TN 37228
Mailing Phone
(832) 553-3375
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-08-2014
Last Update Date
01-08-2014
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
License No.
12902
License State
IL
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

TERESA JORDAN

Authorized Official Title
ASSOCIATE CHIEF COUNSEL
Authorized Official Phone
(832) 553-3375

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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 1831511047, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 6 + 1 + 1 + 0 + 1 + 2 + 0 + 8 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1831511047.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Health Maintenance Organization
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Social Worker
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Nurse Practitioner (Family)
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Nurse Practitioner
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Nurse Practitioner
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Nurse Practitioner
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Internal Medicine
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Nurse Practitioner (Primary Care)
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Clinic/Center
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Nurse Practitioner (Adult Health)
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Nurse Practitioner (Family)
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Nurse Practitioner
530 GREAT CIRCLE RD
NASHVILLE, TN 37228
Clinical Medical Laboratory
530 GREAT CIRCLE RD
NASHVILLE, TN 37228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831511047, enumerated as an "organization" on January 08, 2014.

The provider is located at 530 GREAT CIRCLE RD NASHVILLE, TN 37228 and the phone number is (832) 553-3375.

Health Maintenance Organization with taxonomy code 302R00000X.