GOOD SAMARITAN PONTIAC
NPI 1881679579
Nursing Facility/intermediate Care Facility in Pontiac,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 14, 2005

Contact Information

1225 S Ewing Dr
Pontiac,
Post Code: 61764
Phone: (815) 844-5121
Fax: (815) 419-6000

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Good Samaritan Pontiac in Pontiac - Nursing Facility/Intermediate Care Facility

Good Samaritan Pontiac is a Nursing Facility/Intermediate Care Facility in Pontiac, . Good Samaritan Pontiac practices all healthcare services and medical treatments related to Nursing Facility/Intermediate Care Facility. The NPI Number for Good Samaritan Pontiac is 1881679579. The last update date is 2020-08-12.

Good Samaritan Pontiac's current location address is 1225 S Ewing Dr, Pontiac, . You can contact this provider via phone number (815) 844-5121 and fax number (815) 419-6000. The mailing address for Good Samaritan Pontiac is 1225 S Ewing Dr, Pontiac, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1881679579
Provider Legal Name
GOOD SAMARITAN PONTIAC
Other Organization Name
GOOD SAMARITAN PONTIAC
Other Name Type
-
Entity Type
Organization
Location Address
1225 S Ewing Dr, Pontiac,
Location Phone
(815) 844-5121
Location Fax
(815) 419-6000
Mailing Address
1225 S Ewing Dr, Pontiac, Illinois(IL)
Mailing Phone
815-844-5121
Mailing Fax
815-419-6000
Enumeration Date
2005-12-14
Last Update Date
2020-08-12
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.
1630299
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 313M00000X Nursing Facility/Intermediate Care Facility

Nursing Facility/Intermediate Care Facility

1630299 (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
0010942 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.
1881679579
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2816112718514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2816112718514
2 + 8 + 1 + 6 + 1 + 1 + 2 + 7 + 1 + 8 + 5 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9 9

The NPI number 1881679579 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
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1487657433 PEKIN MRI, LLC
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
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
1871596817 HOMER ABIAD
Individual
Internal Medicine 15900 CICERO AVE
OAK FOREST, Illinois (IL)
708-633-4133
1538162565 SONYA R SCHLEEPER
Individual
Family Medicine 270 MAPLE SUMMIT RD
JERSEYVILLE, Illinois (IL)
618-498-7108