EVERGREEN HEALTHCARE CENTER
NPI 1023099819
Skilled Nursing Facility in Evergreen Park,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 8, 2005

Contact Information

10124 S Kedzie Ave
Evergreen Park,
Post Code: 60805
Phone: (708) 907-7000
Fax: (708) 907-7003

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Evergreen Healthcare Center in Evergreen Park - Skilled Nursing Facility

Evergreen Healthcare Center is a Skilled Nursing Facility in Evergreen Park, . Evergreen Healthcare Center practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Healthcare Center is 1023099819. The last update date is 2008-04-20.

Evergreen Healthcare Center's current location address is 10124 S Kedzie Ave, Evergreen Park, . You can contact this provider via phone number (708) 907-7000 and fax number (708) 907-7003. The mailing address for Evergreen Healthcare Center is 10124 S Kedzie Ave, Evergreen Park, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023099819
Provider Legal Name
EVERGREEN HEALTHCARE CENTER, LLC
Other Organization Name
EVERGREEN HEALTHCARE CENTER
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
10124 S Kedzie Ave, Evergreen Park,
Location Phone
(708) 907-7000
Location Fax
(708) 907-7003
Mailing Address
6400 Shafer Ct, Rosemont, Illinois(IL)
Mailing Phone
847-720-8722
Mailing Fax
847-720-8701
Enumeration Date
2005-11-08
Last Update Date
2008-04-20
Code Navigator

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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========001 MEDICAID (05) Illinois (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023099819
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043091882
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2043091882
2 + 0 + 4 + 3 + 0 + 9 + 1 + 8 + 8 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9 9

The NPI number 1023099819 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023099744 ALEXANDER JAMES JAVOIS
Individual
Pediatrics, Pediatric Cardiology 4440 W 95TH ST
OAK LAWN, Illinois (IL)
708-684-5580
1023099652 GEORGIANNE M GERBER
Individual
Social Worker, Clinical 9417 S TURNER AVE
EVERGREEN PARK, Illinois (IL)
708-346-0252
1023099256 JARED ANDERSEN WOJNICKI
Individual
Family Medicine 453 S VERMONT ST STE C
PALATINE, Illinois (IL)
913-359-6001
1023098910 GREGORY A LEWIS
Individual
Urology 1541 RIVERBOAT CENTER DR
JOLIET, Illinois (IL)
815-409-4930
1023097839 SANJEEV PURI
Individual
Internal Medicine, Interventional Cardiology 1100 36TH AVENUE
MOLINE, Illinois (IL)
309-743-6700