DOLTON COURT
NPI 1033382619
Intermediate Care Facility, Intellectual Disabilities in Dolton, IL

NPI Status: Active since April 04, 2008

Contact Information

644 EAST SHERIDAN AVENUE
DOLTON, IL
ZIP 60419
Phone: (708) 201-0990
Fax: (708) 201-7404

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About DOLTON COURT

This page provides the complete NPI Profile along with additional information for Dolton Court, a provider established in Dolton, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1033382619 assigned on April 2008. The practitioner's primary taxonomy code is 315P00000X with license number 43216 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Dolton Court. The authorized official of this NPI record is Mr. Ronald J Wilson (Authorized Agent)

NPI
1033382619
Provider Legal Name
PIONEER CONCEPTS INC
Other Organization Name
DOLTON COURT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
644 EAST SHERIDAN AVENUE DOLTON, IL 60419
Location Phone
(708) 201-0990
Location Fax
(708) 201-7404
Mailing Address
285 SOUTH FARNHAM STREET GALESBURG, IL 61401
Mailing Phone
(309) 343-1550
Mailing Fax
(708) 201-7404
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-04-2008
Last Update Date
04-20-2008
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
43216
License State
IL
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. RONALD J WILSON

Authorized Official Title
AUTHORIZED AGENT
Authorized Official Phone
(309) 343-1550

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
=========003MEDICAID (05)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.
1033382619
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
206368462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 6 + 8 + 4 + 6 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1033382619 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033382619, enumerated in the NPI registry as an "organization" on April 04, 2008

The provider is located at 644 East Sheridan Avenue Dolton, Il 60419 and the phone number is (708) 201-0990

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 04, 2008. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.