NEURORESTORATIVE, ILLINOIS
NPI 1912487976
Residential Treatment Facility, Emotionally Disturbed Children in Carbondale, IL
NPI Status: Active since August 20, 2018
Contact Information
306 W MILL ST
CARBONDALE, IL
ZIP 62901
Phone: (618) 319-4883
- Organization
- Residential Treatment Facility, Emotiona...
- CLIA Number: 14D1082994
- CLIA Cert. Type: Other
- CLIA Exp. Date: 04-22-2026
About NEURORESTORATIVE, ILLINOIS
This page provides the complete NPI Profile along with additional information for Neurorestorative, Illinois, a provider established in Carbondale, Illinois operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1912487976 assigned on August 2018. The practitioner's primary taxonomy code is 322D00000X with license number 4000021 (IL). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Neurorestorative, Illinois. The authorized official of this NPI record is Sergio P Cruz (Cfo)
- NPI
- 1912487976
- Provider Legal Name
- CENTER FOR COMPREHENSIVE SERVICES, INC
- Other Organization Name
- NEURORESTORATIVE, ILLINOIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 306 W MILL ST CARBONDALE, IL 62901
- Location Phone
- (618) 319-4883
- Mailing Address
- 306 W MILL ST CARBONDALE, IL 62901
- Mailing Phone
- (618) 319-4883
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-20-2018
- Last Update Date
- 08-20-2018
- 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
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- 4000021
- License State
- IL
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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
- 14D1082994
- Facility Type
- Other
- Certificate Effective Date
- April 23, 2024
- Certificate Expiration Date
- April 22, 2026
- Laboratory Director
- MICHELLE VAUGHN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Neurorestorative, Illinois 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 1912487976, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).
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 74 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CARBONDALE, IL 62901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912487976, enumerated as an "organization" on August 20, 2018.
The provider is located at 306 W MILL ST CARBONDALE, IL 62901 and the phone number is (618) 319-4883.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
