CHOATE MENTAL HEALTH & DEVELOPMENTAL CENTER
NPI 1154453991
Intermediate Care Facility, Intellectual Disabilities in Anna, IL
NPI Status: Active since March 09, 2007
- Organization
- Intermediate Care Facility, Intellectual...
About CHOATE MENTAL HEALTH & DEVELOPMENTAL CENTER
This page provides the complete NPI Profile along with additional information for Choate Mental Health & Developmental Center, a provider established in Anna, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1154453991 assigned on March 2007. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's other name is Choate Mental Health & Developmental Center. The authorized official of this NPI record is Debra Muhlstadt (Fiscal Administrator, Sodc Operatio)
- NPI
- 1154453991
- Provider Legal Name
- ILLINOIS DEPARTMENT OF HUMAN SERVICES
- Other Organization Name
- CHOATE MENTAL HEALTH & DEVELOPMENTAL CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1000 N MAIN ST ANNA, IL 62906
- Location Phone
- (618) 833-5161
- Mailing Address
- 1000 N MAIN ST ANNA, IL 62906
- Mailing Phone
- (618) 833-5161
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-09-2007
- Last Update Date
- 12-22-2016
- 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
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
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) |
|---|---|---|---|---|
| 1 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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 |
|---|---|---|---|
| 14G045 | MEDICAID (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. | |||||||||
| 1 | 1 | 5 | 4 | 4 | 5 | 3 | 9 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 8 | 5 | 6 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 8 + 5 + 6 + 9 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1154453991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417069733 | ALUINO ABALOS M.D. Individual | General Practice | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1093884975 | LISA C HOLLABAUGH P.H.D. Individual | Psychologist | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1225108095 | BRENT R SNELL D.O. Individual | Psychiatry & Neurology (Psychiatry) | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1841365392 | JANET L PREGEL P.H.D. Individual | Psychologist | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1538277637 | ILLINOIS DEPARTMENT OF HUMAN SERVICES Organization | Psychiatric Hospital | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1790923399 | DR. PERCY CHESTER MYERS M.D. Individual | Anesthesiology (Pain Medicine) | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1295107696 | RICHARD LAMB D.D.S. Individual | Dentist | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1396956645 | DR. VIKAS ARORA D.O. Individual | Psychiatry & Neurology (Psychiatry) | 1000 N MAIN ST CHOATE MENTAL HEALTH HOSPITAL AND DEV CENTER ANNA, IL 62906 (618) 833-5161 |
| 1558873414 | AMY M MILLER BA, SSP, NCSP Individual | Psychologist (School) | 1000 N MAIN ST ANNA, IL 62906 (618) 833-4541 |
| 1184137234 | TAYLOR BRE-AN PHILLIPS Individual | Licensed Practical Nurse | 1000 N MAIN ST ANNA, IL 62906 (618) 833-2118 |
| 1942331376 | UNIT 3021 C&A REDBUD UPPER Organization | Psychiatric Hospital | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1306978127 | UNIT 1072 UPPER TREATMENT COMPLEX Organization | Psychiatric Hospital | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1063544823 | UNIT 4463 CYPRESS HALL LOWER Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1437281292 | UNIT 4466 SYCAMORE HALL UPPER Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1104958966 | UNIT 4464 CYPRESS HALL UPPER Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1942332614 | UNIT 1061 LOWER TREATMENT COMPLEX Organization | Psychiatric Hospital | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1043342892 | UNIT 4462 CEDAR HALL UPPER Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1710019575 | UNIT 4465 SYCAMORE HALL LOWER Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1457483240 | UNIT 4467 COTTAGE COMPLEX Organization | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5161 |
| 1861915761 | KRYSTIN ANGEL GRANT CNA Individual | Nurse's Aide | 1000 N MAIN ST ANNA, IL 62906 (618) 833-5115 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154453991, enumerated in the NPI registry as an "organization" on March 09, 2007
The provider is located at 1000 N Main St Anna, Il 62906 and the phone number is (618) 833-5161
This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X
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 March 09, 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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