HOME SWEET HOME SUPPORTIVE LIVING LLC
NPI 1255588265
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Elk Grove Village, IL

NPI Status: Active since August 20, 2008

Contact Information

100 NORTHWEST POINT BLVD.
ELK GROVE VILLAGE, IL
ZIP 60007
Phone: (314) 458-8272

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About HOME SWEET HOME SUPPORTIVE LIVING LLC

This page provides the complete NPI Profile along with additional information for Home Sweet Home Supportive Living Llc, a provider established in Elk Grove Village, Illinois operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1255588265 assigned on August 2008. The practitioner's primary taxonomy code is 320900000X with license number LC0914417 (MO). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Ms. T Valiant Registered Nurse-bsn (Rn/owner)

NPI
1255588265
Provider Name
HOME SWEET HOME SUPPORTIVE LIVING LLC
Entity Type
Organization
Location Address
100 NORTHWEST POINT BLVD. ELK GROVE VILLAGE, IL 60007
Location Phone
(314) 458-8272
Mailing Address
PO BOX 38085 SAINT LOUIS, MO 63138
Mailing Phone
(314) 458-8272
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2008
Last Update Date
04-09-2012
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
LC0914417
License State
MO
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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

MS. T VALIANT REGISTERED NURSE-BSN

Authorized Official Title
RN/OWNER
Authorized Official Phone
(314) 458-8272

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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.
1255588265
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210510816212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 8 + 1 + 6 + 2 + 1 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1255588265 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 1255588265, enumerated in the NPI registry as an "organization" on August 20, 2008

The provider is located at 100 Northwest Point Blvd. Elk Grove Village, Il 60007 and the phone number is (314) 458-8272

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

This NPI record was last updated on August 20, 2008. 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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