GRAND VICTORIAN OF SYCAMORE, LLC
NPI 1154527810
Point of Service in Sycamore, IL

NPI Status: Active since June 21, 2007

Contact Information

1440 SOMONAUK ST
SYCAMORE, IL
ZIP 60178
Phone: (815) 895-1900
Fax: (815) 895-1901

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  • Organization
  • Point of Service

About GRAND VICTORIAN OF SYCAMORE, LLC

This page provides the complete NPI Profile along with additional information for Grand Victorian Of Sycamore, Llc, a provider established in Sycamore, Illinois operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1154527810 assigned on June 2007. The practitioner's primary taxonomy code is 305S00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. John Holtz (Controller)

NPI
1154527810
Provider Name
GRAND VICTORIAN OF SYCAMORE, LLC
Entity Type
Organization
Location Address
1440 SOMONAUK ST SYCAMORE, IL 60178
Location Phone
(815) 895-1900
Location Fax
(815) 895-1901
Mailing Address
78 CENTENNIAL LOOP EUGENE, OR 97401
Mailing Phone
(541) 747-3373
Mailing Fax
(815) 895-1901
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2007
Last Update Date
05-13-2008
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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

MR. JOHN HOLTZ

Authorized Official Title
CONTROLLER
Authorized Official Phone
(541) 747-3373

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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.
1154527810
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041021482
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 2 + 1 + 4 + 8 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1154527810 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972264349GRAND VICTORIAN OF SYCAMORE
Organization
Assisted Living Facility1440 SOMONAUK ST
SYCAMORE, IL 60178
(815) 895-1900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154527810, enumerated in the NPI registry as an "organization" on June 21, 2007

The provider is located at 1440 Somonauk St Sycamore, Il 60178 and the phone number is (815) 895-1900

This medical organization specializes in Point of Service with taxonomy code 305S00000X

This NPI record was last updated on June 21, 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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