MADO HEALTHCARE - DOUGLAS PARK
NPI 1902994650
Intermediate Care Facility, Mental Illness in Chicago, IL
NPI Status: Active since October 10, 2006
Contact Information
1550 S ALBANY AVE
CHICAGO, IL
ZIP 60623
Phone: (773) 277-6868
Fax: (773) 277-5014
- Organization
- Intermediate Care Facility, Mental Illne...
- CLIA Number: 14D0892412
- CLIA Cert. Type: Other
- CLIA Exp. Date: 09-28-2026
About MADO HEALTHCARE - DOUGLAS PARK
This page provides the complete NPI Profile along with additional information for Mado Healthcare - Douglas Park, a provider established in Chicago, Illinois operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1902994650 assigned on October 2006. The practitioner's primary taxonomy code is 310500000X with license number 0013334 (IL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Mado Healthcare - Douglas Park. The authorized official of this NPI record is Mr. Peter J O'brien (President)
- NPI
- 1902994650
- Provider Legal Name
- SACRED HEART HOME
- Other Organization Name
- MADO HEALTHCARE - DOUGLAS PARK
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1550 S ALBANY AVE CHICAGO, IL 60623
- Location Phone
- (773) 277-6868
- Location Fax
- (773) 277-5014
- Mailing Address
- 405 N WABASH AVE STE P2W CHICAGO, IL 60611
- Mailing Phone
- (312) 787-9400
- Mailing Fax
- (773) 277-5014
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2006
- Last Update Date
- 04-15-2019
- Code Navigator
Location Map
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, Mental Illness
- Taxonomy Code
- 310500000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 0013334
- License State
- IL
- Taxonomy Description
- A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
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
- 14D0892412
- Facility Type
- Other
- Certificate Effective Date
- September 29, 2024
- Certificate Expiration Date
- September 28, 2026
- Laboratory Director
- MARDY GIBBS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mado Healthcare - Douglas Park 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 1902994650, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CHICAGO, IL 60623
CHICAGO, IL 60623
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902994650, enumerated as an "organization" on October 10, 2006.
The provider is located at 1550 S ALBANY AVE CHICAGO, IL 60623 and the phone number is (773) 277-6868.
Intermediate Care Facility, Mental Illness with taxonomy code 310500000X.
