ICG REHAB
NPI 1104042993
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Decatur, IL

NPI Status: Active since April 18, 2007

Contact Information

185 W IMBODEN DR
DECATUR, IL
ZIP 62521
Phone: (217) 233-1425
Fax: (217) 233-1777

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  • Organization
  • Clinic/Center
  • Rehabilitation, Comprehensive Outpatient...

About ICG REHAB

This page provides the complete NPI Profile along with additional information for Icg Rehab, a provider established in Decatur, Illinois operating as a Clinic/center, focusing in rehabilitation, comprehensive outpatient rehabilitation facility (corf) . The healthcare provider is registered in the NPI registry with number 1104042993 assigned on April 2007. The practitioner's primary taxonomy code is 261QR0401X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Icg Rehab. The authorized official of this NPI record is Rhonda S Luther Ma (Coo)

NPI
1104042993
Provider Legal Name
LIVING CENTERS INC
Other Organization Name
ICG REHAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
185 W IMBODEN DR DECATUR, IL 62521
Location Phone
(217) 233-1425
Location Fax
(217) 233-1777
Mailing Address
180 W IMBODEN DR DECATUR, IL 62521
Mailing Phone
(217) 422-7150
Mailing Fax
(217) 233-1777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2007
Last Update Date
10-10-2007
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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

Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Code
261QR0401X
Type
Ambulatory Health Care Facilities

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

RHONDA S LUTHER MA

Authorized Official Title
COO
Authorized Official Phone
(217) 422-7150

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
146716MEDICARE OSCAR/CERTIFICATION (06)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.
1104042993
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104044918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 4 + 4 + 9 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1104042993 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316974611 DOUGLAS BLAKEY
Individual
Physical Therapy Assistant185 W IMBODEN DR
DECATUR, IL 62521
(217) 233-1425
1427088384 LESA STEARNS
Individual
Physical Therapy Assistant185 W IMBODEN DR
DECATUR, IL 62521
(217) 233-1425
1982634853 JANINE BOEHME
Individual
Physical Therapist185 W IMBODEN DR
DECATUR, IL 62521
(217) 233-1425
1609806587 SCOTT ABNER
Individual
Physical Therapy Assistant185 W IMBODEN DR
DECATUR, IL 62521
(217) 233-1425
1245261668 AMY J STOCK
Individual
Speech-Language Pathologist185 W IMBODEN DR
DECATUR, IL 62521
(217) 233-1425
1679507974 JENNIFER REED
Individual
Occupational Therapy Assistant185 W IMBODEN DR
DECATUR, IL 62521
(217) 233-1425
1730113036 DAENA GIBSON
Individual
Occupational Therapist185 W IMBODEN DR
DECATUR, IL 62521
(217) 233-1425
1265159420MRS. DIANA RAE PEHLMAN-WILKIN SLP
Individual
Speech-Language Pathologist185 W IMBODEN DR
DECATUR, IL 62521
(217) 233-1425
1891456216IMBODEN CREEK GARDENS LLC
Organization
Assisted Living Facility185 W IMBODEN DR
DECATUR, IL 62521
(217) 233-1425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104042993, enumerated in the NPI registry as an "organization" on April 18, 2007

The provider is located at 185 W Imboden Dr Decatur, Il 62521 and the phone number is (217) 233-1425

This medical organization specializes in Clinic/Center with taxonomy code 261QR0401X with a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

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 18, 2007. 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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