BROOKSTONE ESTATES OF EFFINGHAM
NPI 1295123545
Assisted Living Facility in Effingham, IL
NPI Status: Active since January 08, 2015
Contact Information
1101 N MAPLE ST
EFFINGHAM, IL
ZIP 62401
Phone: (217) 347-5871
Fax: (217) 347-5879
- Organization
- Assisted Living Facility
- CLIA Number: 14D2194931
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 10-04-2026
About BROOKSTONE ESTATES OF EFFINGHAM
This page provides the complete NPI Profile along with additional information for Brookstone Estates Of Effingham, a provider established in Effingham, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1295123545 assigned on January 2015. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Brookstone Estates Of Effingham. The authorized official of this NPI record is Ms. Annie Wendt (Executive Director)
- NPI
- 1295123545
- Provider Legal Name
- WC- EFFINGHAM ESTATES OPS LLC
- Other Organization Name
- BROOKSTONE ESTATES OF EFFINGHAM
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1101 N MAPLE ST EFFINGHAM, IL 62401
- Location Phone
- (217) 347-5871
- Location Fax
- (217) 347-5879
- Mailing Address
- 1101 N MAPLE ST EFFINGHAM, IL 62401
- Mailing Phone
- (217) 347-5871
- Mailing Fax
- (217) 347-5879
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-08-2015
- Last Update Date
- 01-21-2015
- 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
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License State
- IL
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2194931
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 05, 2024
- Certificate Expiration Date
- October 04, 2026
- Laboratory Director
- TEAL N. NIEBRUGGE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brookstone Estates Of Effingham to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 2 | 9 | 5 | 1 | 2 | 3 | 5 | 4 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 18 | 5 | 2 | 2 | 6 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 8 + 5 + 2 + 2 + 6 + 5 + 8 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1295123545 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1154527711 | EFFINGHAM ESTATES, LLC Organization | Point of Service | 1101 N MAPLE ST EFFINGHAM, IL 62401 (217) 347-5871 |
| 1417281353 | MIDWEST CARE EFFINGHAM ESTATES LLC Organization | Point of Service | 1101 N MAPLE ST EFFINGHAM, IL 62401 (217) 347-5871 |
| 1053905497 | BROOKSTONE ESTATES OF EFFINGHAM Organization | Assisted Living Facility | 1101 N MAPLE ST EFFINGHAM, IL 62401 (217) 610-4961 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295123545, enumerated in the NPI registry as an "organization" on January 08, 2015
The provider is located at 1101 N Maple St Effingham, Il 62401 and the phone number is (217) 347-5871
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 14D2194931 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on January 08, 2015. 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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