CONCORDIA VILLAGE CARE CENTER
NPI 1003522046
Skilled Nursing Facility in Springfield, IL

NPI Status: Active since January 24, 2023

Contact Information

4101 W ILES AVE
SPRINGFIELD, IL
ZIP 62711
Phone: (217) 793-9429
Fax: (217) 793-1333

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  • Organization
  • Skilled Nursing Facility

About CONCORDIA VILLAGE CARE CENTER

This page provides the complete NPI Profile along with additional information for Concordia Village Care Center, a provider established in Springfield, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1003522046 assigned on January 2023. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Concordia Village Care Center. The authorized official of this NPI record is Chadwick Sneed (Cfo)

NPI
1003522046
Provider Legal Name
LUTHERAN SENIOR SERVICES
Other Organization Name
CONCORDIA VILLAGE CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4101 W ILES AVE SPRINGFIELD, IL 62711
Location Phone
(217) 793-9429
Location Fax
(217) 793-1333
Mailing Address
4101 W ILES AVE SPRINGFIELD, IL 62711
Mailing Phone
(217) 793-9429
Mailing Fax
(217) 793-1333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-24-2023
Last Update Date
09-20-2023
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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
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHADWICK SNEED

Authorized Official Title
CFO
Authorized Official Phone
(314) 446-2405

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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.
1003522046
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003102408
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 1 + 0 + 2 + 4 + 0 + 8 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1003522046 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225310246LUTHERAN RETIREMENT CENTER ASSOCIATION
Organization
Skilled Nursing Facility4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 793-9429
1831768852 TRACY JACKSON RN
Individual
Registered Nurse4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 993-7085
1174193106MRS. HEATHER L. TAPSCOTT LPN
Individual
Licensed Practical Nurse4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 993-7037
1205502945MS. CHERYL LYNN SPENCER LPN
Individual
Licensed Practical Nurse4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 793-9429
1083371447 TARA LYNN HUGHES COTA/L
Individual
Occupational Therapy Assistant4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 993-7066
1518624055MRS. LIBBY CHANEL CAMPBELL COTA
Individual
Occupational Therapy Assistant4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 793-9429
1114673811 KRISTI LYNN HINEGARDNER DNP, MSN, RN
Individual
Registered Nurse4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 993-7120
1235885930 EMILY FRANKLIN REGISTERED NURSE
Individual
Registered Nurse (Infection Control)4101 W ILES AVE
SPRINGFIELD, IL 62711
(121) 782-7082
1306588967 LINDSEY B TEEFEY PTA
Individual
Physical Therapy Assistant4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 793-9429
1437907151 SOPHIA A KEITH OTR/L
Individual
Occupational Therapist4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 793-9429
1134948078 JEAN ZIEGLER DPT
Individual
Physical Therapist4101 W ILES AVE
SPRINGFIELD, IL 62711
(217) 793-9429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003522046, enumerated in the NPI registry as an "organization" on January 24, 2023

The provider is located at 4101 W Iles Ave Springfield, Il 62711 and the phone number is (217) 793-9429

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on January 24, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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