VODICKA FAMILY HEALTH & WELLNESS LLC
NPI 1912652645
Clinic/Center - Health Service in Lemont, IL

NPI Status: Active since February 22, 2022

Contact Information

13045 RAVINE DR
LEMONT, IL
ZIP 60439
Phone: (847) 703-0262

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 14D2270353
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 10-12-2026

About VODICKA FAMILY HEALTH & WELLNESS LLC

This page provides the complete NPI Profile along with additional information for Vodicka Family Health & Wellness Llc, a provider established in Lemont, Illinois operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1912652645 assigned on February 2022. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Jessica Vodicka Np (Nurse Practitioner)

NPI
1912652645
Provider Name
VODICKA FAMILY HEALTH & WELLNESS LLC
Entity Type
Organization
Location Address
13045 RAVINE DR LEMONT, IL 60439
Location Phone
(847) 703-0262
Mailing Address
13045 RAVINE DR LEMONT, IL 60439
Mailing Phone
(847) 703-0262
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-22-2022
Last Update Date
02-22-2022
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

JESSICA VODICKA NP

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(847) 703-0262

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
14D2270353
Facility Type
Practitioner Other
Certificate Effective Date
October 13, 2024
Certificate Expiration Date
October 12, 2026
Laboratory Director
J M VODICKA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vodicka Family Health & Wellness Llc 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 1912652645, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
5
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 1 → 2 6 → 12 → 3 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 2 + 2 + 1 + 2 + 5 + 4 + 6 + 8 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1912652645.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Nurse Practitioner (Family)
13045 RAVINE DR
LEMONT, IL 60439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912652645, enumerated as an "organization" on February 22, 2022.

The provider is located at 13045 RAVINE DR LEMONT, IL 60439 and the phone number is (847) 703-0262.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.