FOUR FOUNTAINS CONVALESCENT CENTER
NPI 1366436453
Nursing Home Administrator in Belleville,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 6, 2005

Contact Information

101 S Belt W
Belleville,
Post Code: 62220
Phone: (618) 277-7700
Fax: (618) 355-4050

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Four Fountains Convalescent Center in Belleville - Nursing Home Administrator

Four Fountains Convalescent Center is a Nursing Home Administrator in Belleville, . Four Fountains Convalescent Center practices all healthcare services and medical treatments related to Nursing Home Administrator. The NPI Number for Four Fountains Convalescent Center is 1366436453. The last update date is 2009-03-24.

Four Fountains Convalescent Center's current location address is 101 S Belt W, Belleville, . You can contact this provider via phone number (618) 277-7700 and fax number (618) 355-4050. The mailing address for Four Fountains Convalescent Center is 101 S Belt W, Belleville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1366436453
Provider Legal Name
FOUR FOUNTAINS CONVALESCENT CENTER
Other Organization Name
FOUR FOUNTAINS CONVALESCENT CENTER
Other Name Type
-
Entity Type
Organization
Location Address
101 S Belt W, Belleville,
Location Phone
(618) 277-7700
Location Fax
(618) 355-4050
Mailing Address
101 S Belt W, Belleville, Illinois(IL)
Mailing Phone
618-277-7700
Mailing Fax
618-355-4050
Enumeration Date
2005-09-06
Last Update Date
2009-03-24
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

Nursing Home Administrator

Taxonomy Code
376G00000X
Type
-
License No.
0030304
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
========= Other (non-Medicare) (01) Illinois (IL) UHC-Medicare Complete
=========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.
1366436453
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231268312410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 231268312410
2 + 3 + 1 + 2 + 6 + 8 + 3 + 1 + 2 + 4 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3 3

The NPI number 1366436453 is valid because the calculated check digit 3 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
1356344378 LIFESCAN CHICAGO LLC
Organization
Clinic/Center, Radiology 2242 W HARRISON ST
CHICAGO, Illinois (IL)
312-243-3200
1114920311 GREGORY ALLEN THOMPSON
Individual
Internal Medicine, Infectious Disease 33 W MONROE ST
CHICAGO, Illinois (IL)
312-894-5784