PEACE VILLAGE
NPI 1033396890
Assisted Living Facility in Palos Park, IL

NPI Status: Active since January 23, 2008

Contact Information

10300 VILLAGE CIRCLE DR
PALOS PARK, IL
ZIP 60464
Phone: (708) 671-2403
Fax: (708) 671-2453

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  • Organization
  • Assisted Living Facility

About PEACE VILLAGE

This page provides the complete NPI Profile along with additional information for Peace Village, a provider established in Palos Park, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1033396890 assigned on January 2008. The practitioner's primary taxonomy code is 310400000X with license number 5101065 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Roger P Ellens (Cfo)

NPI
1033396890
Provider Name
PEACE VILLAGE
Entity Type
Organization
Location Address
10300 VILLAGE CIRCLE DR PALOS PARK, IL 60464
Location Phone
(708) 671-2403
Location Fax
(708) 671-2453
Mailing Address
10300 VILLAGE CIRCLE DR PALOS PARK, IL 60464
Mailing Phone
(708) 671-2403
Mailing Fax
(708) 671-2453
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-23-2008
Last Update Date
07-24-2014
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
5101065
License State
IL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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. ROGER P ELLENS

Authorized Official Title
CFO
Authorized Official Phone
(708) 671-2403

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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.
1033396890
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20636912818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 6 + 9 + 1 + 2 + 8 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1033396890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548737562 ELTON TOLEDO PTA
Individual
Physical Therapy Assistant10300 VILLAGE CIRCLE DR
PALOS PARK, IL 60464
(708) 329-8891
1770041675MR. MICHAEL LISUZZO DPT
Individual
Physical Therapist10300 VILLAGE CIRCLE DR
PALOS PARK, IL 60464
(708) 361-3683
1720560956 DANIELLE ANN TSUPROS
Individual
Speech-Language Pathologist10300 VILLAGE CIRCLE DR
PALOS PARK, IL 60464
(708) 361-3683
1659700532 ALISON WEBB
Individual
Occupational Therapist10300 VILLAGE CIRCLE DR
PALOS PARK, IL 60464
(708) 407-1388
1407579147 FAITH MCCHRISTEN
Individual
Occupational Therapist10300 VILLAGE CIRCLE DR
PALOS PARK, IL 60464
(708) 361-3683
1548081326 CHLOE RYAN
Individual
Occupational Therapist10300 VILLAGE CIRCLE DR
PALOS PARK, IL 60464
(773) 575-0134

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033396890, enumerated in the NPI registry as an "organization" on January 23, 2008

The provider is located at 10300 Village Circle Dr Palos Park, Il 60464 and the phone number is (708) 671-2403

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on January 23, 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.