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
- 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
- Code Navigator
Location Map
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.
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 |
---|---|---|---|
146716 | MEDICARE 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. | |||||||||
1 | 1 | 0 | 4 | 0 | 4 | 2 | 9 | 9 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 0 | 4 | 0 | 4 | 4 | 9 | 18 | |
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 = 3 | 3 |
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 Assistant | 185 W IMBODEN DR DECATUR, IL 62521 (217) 233-1425 |
1427088384 | LESA STEARNS Individual | Physical Therapy Assistant | 185 W IMBODEN DR DECATUR, IL 62521 (217) 233-1425 |
1982634853 | JANINE BOEHME Individual | Physical Therapist | 185 W IMBODEN DR DECATUR, IL 62521 (217) 233-1425 |
1609806587 | SCOTT ABNER Individual | Physical Therapy Assistant | 185 W IMBODEN DR DECATUR, IL 62521 (217) 233-1425 |
1245261668 | AMY J STOCK Individual | Speech-Language Pathologist | 185 W IMBODEN DR DECATUR, IL 62521 (217) 233-1425 |
1679507974 | JENNIFER REED Individual | Occupational Therapy Assistant | 185 W IMBODEN DR DECATUR, IL 62521 (217) 233-1425 |
1730113036 | DAENA GIBSON Individual | Occupational Therapist | 185 W IMBODEN DR DECATUR, IL 62521 (217) 233-1425 |
1265159420 | MRS. DIANA RAE PEHLMAN-WILKIN SLP Individual | Speech-Language Pathologist | 185 W IMBODEN DR DECATUR, IL 62521 (217) 233-1425 |
1891456216 | IMBODEN CREEK GARDENS LLC Organization | Assisted Living Facility | 185 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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