JACK MABLEY DEVELOPMENTAL CENTER
NPI 1376525204
Intermediate Care Facility, Intellectual Disabilities in Dixon,


Quality Rating: 100 out of 100 score

NPI Status: Active since November 16, 2005

Contact Information

1120 Washington Ave
Dixon,
Post Code: 61021
Phone: (815) 288-8301
Fax: (815) 288-8398

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Jack Mabley Developmental Center in Dixon - Intermediate Care Facility, Intellectual Disabilities

Jack Mabley Developmental Center is a Intermediate Care Facility, Intellectual Disabilities in Dixon, . Jack Mabley Developmental Center practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Jack Mabley Developmental Center is 1376525204. The last update date is 2016-12-22.

Jack Mabley Developmental Center's current location address is 1120 Washington Ave, Dixon, . You can contact this provider via phone number (815) 288-8301 and fax number (815) 288-8398. The mailing address for Jack Mabley Developmental Center is 1120 Washington Ave, Dixon, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1376525204
Provider Legal Name
ILLINOIS DEPARTMENT OF HUMAN SERVICES
Other Organization Name
JACK MABLEY DEVELOPMENTAL CENTER
Other Name Type
Other Name(5)
Entity Type
Organization
Location Address
1120 Washington Ave, Dixon,
Location Phone
(815) 288-8301
Location Fax
(815) 288-8398
Mailing Address
1120 Washington Ave, Dixon, Illinois(IL)
Mailing Phone
815-288-8301
Mailing Fax
815-288-8398
Enumeration Date
2005-11-16
Last Update Date
2016-12-22
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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
-
License No.
830600
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.
1376525204
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461021020
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 231461021020
2 + 3 + 1 + 4 + 6 + 1 + 0 + 2 + 1 + 0 + 2 + 0 + 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 1376525204 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
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