PRESENCE COR MARIAE CENTER
NPI 1124013255
Skilled Nursing Facility in Rockford, IL

NPI Status: Active since September 14, 2005

Contact Information

3330 MARIA LINDEN DR
ROCKFORD, IL
ZIP 61114
Phone: (815) 877-7416
Fax: (815) 877-4299

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  • Organization
  • Skilled Nursing Facility

About PRESENCE COR MARIAE CENTER

This page provides the complete NPI Profile along with additional information for Presence Cor Mariae Center, a provider established in Rockford, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1124013255 assigned on September 2005. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Presence Cor Mariae Center. The authorized official of this NPI record is Michael Gordon (Cfo)

NPI
1124013255
Provider Legal Name
PRESENCE LIFE CONNECTIONS
Other Organization Name
PRESENCE COR MARIAE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3330 MARIA LINDEN DR ROCKFORD, IL 61114
Location Phone
(815) 877-7416
Location Fax
(815) 877-4299
Mailing Address
18927 HICKORY CREEK DR STE 300 MOKENA, IL 60448
Mailing Phone
(708) 478-7900
Mailing Fax
(815) 877-4299
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-14-2005
Last Update Date
07-21-2022
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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
License State
IL
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

MICHAEL GORDON

Authorized Official Title
CFO
Authorized Official Phone
(708) 478-7911

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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.
1124013255
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2144016210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 1 + 6 + 2 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1124013255 is valid because the calculated check digit 5 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 1124013255, enumerated in the NPI registry as an "organization" on September 14, 2005

The provider is located at 3330 Maria Linden Dr Rockford, Il 61114 and the phone number is (815) 877-7416

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

This NPI record was last updated on September 14, 2005. 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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