PROVIDENCE HEALTHCARE AND REHABILITATION CENTER SOUTH HOLLAND
NPI 1124020474
Skilled Nursing Facility in South Holland,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 1, 2005

Contact Information

16300 Wausau Ave
South Holland,
Post Code: 60473
Phone: (708) 596-5500
Fax: (708) 596-5527

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Providence Healthcare And Rehabilitation Center South Holland in South Holland - Skilled Nursing Facility

Providence Healthcare And Rehabilitation Center South Holland is a Skilled Nursing Facility in South Holland, . Providence Healthcare And Rehabilitation Center South Holland practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Providence Healthcare And Rehabilitation Center South Holland is 1124020474. The last update date is 2009-04-14.

Providence Healthcare And Rehabilitation Center South Holland's current location address is 16300 Wausau Ave, South Holland, . You can contact this provider via phone number (708) 596-5500 and fax number (708) 596-5527. The mailing address for Providence Healthcare And Rehabilitation Center South Holland is 16300 Wausau Ave, South Holland, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1124020474
Provider Legal Name
REST HAVEN ILLIANA CHRISTIAN CONVALESCENT HOME
Other Organization Name
PROVIDENCE HEALTHCARE AND REHABILITATION CENTER SOUTH HOLLAND
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
16300 Wausau Ave, South Holland,
Location Phone
(708) 596-5500
Location Fax
(708) 596-5527
Mailing Address
16300 Wausau Ave, South Holland, Illinois(IL)
Mailing Phone
708-596-5500
Mailing Fax
708-596-5527
Enumeration Date
2005-06-01
Last Update Date
2009-04-14
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.
0023242
License State
Illinois (IL)
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

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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.
1124020474
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144020414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2144020414
2 + 1 + 4 + 4 + 0 + 2 + 0 + 4 + 1 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 4 4

The NPI number 1124020474 is valid because the calculated check digit 4 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
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541
1114920311 GREGORY ALLEN THOMPSON
Individual
Internal Medicine, Infectious Disease 33 W MONROE ST
CHICAGO, Illinois (IL)
312-894-5784
1083617070 NANCY ELLEN KLEIN
Individual
Dentist, General Practice 711 ORCHARD ST STE 1
DEERFIELD, Illinois (IL)
847-254-6244