PLCCA
NPI 1134553076
Clinic/Center - Methadone in Maywood, IL

NPI Status: Active since August 28, 2013

Contact Information

411 MADISON ST
MAYWOOD, IL
ZIP 60153
Phone: (708) 236-5042

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  • Organization
  • Clinic/Center
  • Methadone

About PLCCA

This page provides the complete NPI Profile along with additional information for Plcca, a provider established in Maywood, Illinois operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1134553076 assigned on August 2013. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated one year ago. Plcca operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Plcca. The authorized official of this NPI record is Claude Porter (Ceo)

NPI
1134553076
Provider Legal Name
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC
Other Organization Name
PLCCA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
411 MADISON ST MAYWOOD, IL 60153
Location Phone
(708) 236-5042
Mailing Address
411 WEST MADISON STREET MAYWOOD, IL 60153
Mailing Phone
(708) 236-5042
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2013
Last Update Date
03-20-2024
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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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 
3276400000XHospital Units

Rehabilitation, Substance Use Disorder Unit

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

CLAUDE PORTER

Authorized Official Title
CEO
Authorized Official Phone
(708) 450-3500

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
1215987003MEDICAID (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.
1134553076
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641056014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 0 + 5 + 6 + 0 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1134553076 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457539223PLCCA,INC.
Organization
Community/Behavioral Health411 MADISON ST
MAYWOOD, IL 60153
(708) 450-3500
1962781971PROVISO LEYDEN COUNCIL FOR COMMUNITY ACTION
Organization
Community/Behavioral Health411 MADISON ST
MAYWOOD, IL 60153
(708) 450-3500
1134561988PLCCA, INC.
Organization
Contractor411 MADISON ST
MAYWOOD, IL 60153
(708) 236-5038
1336724814MR. ANTONY D GREENHOW MS, LPC, NCC
Individual
Counselor411 MADISON ST
MAYWOOD, IL 60153
(708) 450-3500
1467172965MS. JANET TAPIA LICENSE SOCIAL WORK
Individual
Counselor (Mental Health)411 MADISON ST
MAYWOOD, IL 60153
(708) 450-3500
1033981089 JAKE CLIFTON KELOW III LSW/CADC/ATE/COPD I
Individual
Social Worker411 MADISON ST
MAYWOOD, IL 60153
(708) 450-3500
1487426433MS. MINDY ANN HERMANN I MSW LSW
Individual
Social Worker411 MADISON ST
MAYWOOD, IL 60153
(773) 450-3500
1306653613PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC
Organization
Clinic/Center (Adult Mental Health)411 MADISON ST
MAYWOOD, IL 60153
(708) 450-3500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134553076, enumerated in the NPI registry as an "organization" on August 28, 2013

The provider is located at 411 Madison St Maywood, Il 60153 and the phone number is (708) 236-5042

This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone

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 August 28, 2013. 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.