AMBOY TERRACE
NPI 1902075047
Intermediate Care Facility, Intellectual Disabilities in Amboy, IL

NPI Status: Active since February 22, 2008

Contact Information

200 W HAWLEY
AMBOY, IL
ZIP 61310
Phone: (815) 288-6691
Fax: (815) 288-1636

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About AMBOY TERRACE

This page provides the complete NPI Profile along with additional information for Amboy Terrace, a provider established in Amboy, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1902075047 assigned on February 2008. The practitioner's primary taxonomy code is 315P00000X with license number 0036715 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's other name is Amboy Terrace. The authorized official of this NPI record is Mr. Jeffrey J Stauter (Executive Director)

NPI
1902075047
Provider Legal Name
KREIDER SERVICES INC
Other Organization Name
AMBOY TERRACE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
200 W HAWLEY AMBOY, IL 61310
Location Phone
(815) 288-6691
Location Fax
(815) 288-1636
Mailing Address
PO BOX 366 DIXON, IL 61021
Mailing Phone
(815) 288-6691
Mailing Fax
(815) 288-1636
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2008
Last Update Date
08-19-2014
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
0036715
License State
IL
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

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

MR. JEFFREY J STAUTER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(815) 288-6691

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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 1902075047, 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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
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 0 → 0 0 → 0 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 0 + 7 + 1 + 0 + 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 1902075047.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902075047, enumerated as an "organization" on February 22, 2008.

The provider is located at 200 W HAWLEY AMBOY, IL 61310 and the phone number is (815) 288-6691.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.