LIFEHOUSE BEHAVIORAL HEALTH, LLC
NPI 1972298792
Clinic/Center - Rehabilitation, Substance Use Disorder in Blue Island, IL

NPI Status: Active since April 07, 2023

Contact Information

12761 WESTERN AVE
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 897-8581

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 14D2320836
  • CLIA Cert. Type: Comp. Outpatient Rehab Facility
  • CLIA Exp. Date: 03-24-2027

About LIFEHOUSE BEHAVIORAL HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Lifehouse Behavioral Health, Llc, a provider established in Blue Island, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1972298792 assigned on April 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Mr. Daniel Edward Walsh Ncrs, Mba (Ceo)

NPI
1972298792
Provider Legal Name
LIFEHOUSE BEHAVIORAL HEALTH, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
12761 WESTERN AVE BLUE ISLAND, IL 60406
Location Phone
(708) 897-8581
Mailing Address
12761 WESTERN AVE BLUE ISLAND, IL 60406
Mailing Phone
(708) 897-8581
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2023
Last Update Date
09-10-2025
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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 Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1291U00000XLaboratories

Clinical Medical Laboratory

 

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. DANIEL EDWARD WALSH NCRS, MBA

Authorized Official Title
CEO
Authorized Official Phone
(312) 451-5996

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
14D2320836
Facility Type
Comp. Outpatient Rehab Facility
Certificate Effective Date
March 25, 2025
Certificate Expiration Date
March 24, 2027
Laboratory Director
DANIEL L. HOSTETLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lifehouse Behavioral Health, 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 1972298792, we treat the final digit (2) 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 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
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 7 → 14 → 5 2 → 4 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 4 + 9 + 1 + 6 + 7 + 1 + 8 + 24 = 78

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

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1972298792.

Other Providers at the Same Location


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

Counselor (Addiction (Substance Use Disorder))
12761 WESTERN AVE
BLUE ISLAND, IL 60406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972298792, enumerated as an "organization" on April 07, 2023.

The provider is located at 12761 WESTERN AVE BLUE ISLAND, IL 60406 and the phone number is (708) 897-8581.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.