LOYOLA UNIVERSITY HOME INFUSION
NPI 1255483962
Home Infusion in Hickory Hills, IL

NPI Status: Active since January 16, 2007

Contact Information

9608 S ROBERTS RD
HICKORY HILLS, IL
ZIP 60457
Phone: (708) 216-3510

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  • Organization
  • Home Infusion
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About LOYOLA UNIVERSITY HOME INFUSION

This page provides the complete NPI Profile along with additional information for Loyola University Home Infusion, a provider established in Hickory Hills, Illinois operating as a Home Infusion. The healthcare provider is registered in the NPI registry with number 1255483962 assigned on January 2007. The practitioner's primary taxonomy code is 251F00000X with license number 0004630 (IL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Loyola University Home Infusion. The authorized official of this NPI record is Mr. John P. Mordach (Chief Financial Officer)

NPI
1255483962
Provider Legal Name
LOYOLA UNIVERSITY MEDICAL CENTER
Other Organization Name
LOYOLA UNIVERSITY HOME INFUSION
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9608 S ROBERTS RD HICKORY HILLS, IL 60457
Location Phone
(708) 216-3510
Mailing Address
9608 S ROBERTS RD HICKORY HILLS, IL 60457
Mailing Phone
(708) 216-3510
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2007
Last Update Date
03-19-2010
Code Navigator



Loyola University Home Infusion is a medicare supplier with PTAN 20636027 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or External Infusion Pumps and/or Supplies or Parenteral Nutrients or Parenteral Equipment and/or Supplies.

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

Home Infusion

Taxonomy Code
251F00000X
Type
Agencies
License No.
0004630
License State
IL

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.

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

MR. JOHN P. MORDACH

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(708) 216-4252

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
142329MEDICARE ID-TYPE UNSPECIFIED (04)ILRENAL
14T276MEDICARE ID-TYPE UNSPECIFIED (04)ILREHAB
=========401MEDICAID (05)IL 
=========003MEDICAID (05)IL 
=========002MEDICAID (05)IL 
0500OTHER (01)ILBLUE CROSS
140276MEDICARE OSCAR/CERTIFICATION (06)IL 
1671580OTHER (01)ILBLUE CROSS FEDERA
=========011MEDICAID (05)IL 
=========005MEDICAID (05)IL 
147257MEDICARE ID-TYPE UNSPECIFIED (04)ILHOME HEALTH
0564080001MEDICARE NSC (07)IL 
9729OTHER (01)ILBLUE CROSS INFUSION
=========001MEDICAID (05)IL 
=========004MEDICAID (05)IL 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20636027
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Parenteral Equipment and/or Supplies - Parenteral infusion pumps, parenteral nutrition supply kits

Reviews for LOYOLA UNIVERSITY HOME INFUSION

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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.
1255483962
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105886912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 8 + 8 + 6 + 9 + 1 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1255483962 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952657280DR. STEVEN JOVANOVICH DPT, OCS, CSCS
Individual
Physical Therapist9608 S ROBERTS RD
HICKORY HILLS, IL 60457
(708) 233-5395
1619229036 KATHLEEN PATRICIA TORREZ
Individual
Physical Therapy Assistant9608 S ROBERTS RD
HICKORY HILLS, IL 60457
(708) 233-5377
1386785152LOYOLA UNIVERSITY MEDICAL CENTER
Organization
Pharmacy (Home Infusion Therapy Pharmacy)9608 S ROBERTS RD
HICKORY HILLS, IL 60457
(708) 233-5390
1003035122 HAEMI CHOI MD
Individual
Family Medicine9608 S ROBERTS RD
HICKORY HILLS, IL 60457
(708) 233-5333
1275799710DR. KATHERINE LOUISE MAIETTA M.D.
Individual
Internal Medicine9608 S ROBERTS RD
HICKORY HILLS, IL 60457
(708) 233-5333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255483962, enumerated in the NPI registry as an "organization" on January 16, 2007

The provider is located at 9608 S Roberts Rd Hickory Hills, Il 60457 and the phone number is (708) 216-3510

This medical organization specializes in Home Infusion with taxonomy code 251F00000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 January 16, 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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