CLINTON MANOR LIVING CENTER
NPI 1174518278
Intermediate Care Facility, Intellectual Disabilities in New Baden,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 14, 2005

Contact Information

111 E Illinois St
New Baden,
Post Code: 62265
Phone: (618) 588-2066
Fax: (618) 588-4673

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Clinton Manor Living Center in New Baden - Intermediate Care Facility, Intellectual Disabilities

Clinton Manor Living Center is a Intermediate Care Facility, Intellectual Disabilities in New Baden, . Clinton Manor Living Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Clinton Manor Living Center is 1174518278. The last update date is 2011-11-09.

Clinton Manor Living Center's current location address is 111 E Illinois St, New Baden, . You can contact this provider via phone number (618) 588-2066 and fax number (618) 588-4673. The mailing address for Clinton Manor Living Center is 111 E Illinois St, New Baden, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1174518278
Provider Legal Name
SOUTHERN ILLINOIS LIVING CENTERS INC.
Other Organization Name
CLINTON MANOR LIVING CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
111 E Illinois St, New Baden,
Location Phone
(618) 588-2066
Location Fax
(618) 588-4673
Mailing Address
111 E Illinois St, New Baden, Illinois(IL)
Mailing Phone
618-588-4924
Mailing Fax
618-588-4673
Enumeration Date
2005-09-14
Last Update Date
2011-11-09
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.
0033159
License State
Illinois (IL)
Taxonomy Description
-

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)
1 315P00000X Intellectual Disabilities Intermediate Care Facility

Intermediate Care Facility, Intellectual Disabilities

0033159 (Illinois)

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
0033159 Other (non-Medicare) (01) Illinois (IL) IDPH License number
=========001 MEDICAID (05) Illinois (IL)
=========002 MEDICAID (05) Illinois (IL)
=========003 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.
1174518278
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2114410116214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2114410116214
2 + 1 + 1 + 4 + 4 + 1 + 0 + 1 + 1 + 6 + 2 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1174518278 is valid because the calculated check digit 8 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
1124021308 JULIA RACKLEY PERRY MEMORIAL HOSPITAL
PERRY MEMORIAL HOSPITAL
Organization
General Acute Care Hospital, Critical Access 530 PARK AVE E
PRINCETON, Illinois (IL)
815-875-2811