SUNRISE OF NAPERVILLE NORTH
NPI 1336341924
Assisted Living Facility in Naperville, IL

NPI Status: Active since June 05, 2007

Contact Information

535 W OGDEN AVE
NAPERVILLE, IL
ZIP 60563
Phone: (630) 605-9400

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 14D2195606
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 10-08-2026

About SUNRISE OF NAPERVILLE NORTH

This page provides the complete NPI Profile along with additional information for Sunrise Of Naperville North, a provider established in Naperville, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1336341924 assigned on June 2007. The practitioner's primary taxonomy code is 310400000X with license number 5101289 (IL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Sunrise Of Naperville North. The authorized official of this NPI record is Cheryl Black (Executive Director)

NPI
1336341924
Provider Legal Name
SUNRISE NORTH NAPERVILLE ASSISTED LIVING, LLC
Other Organization Name
SUNRISE OF NAPERVILLE NORTH
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
535 W OGDEN AVE NAPERVILLE, IL 60563
Location Phone
(630) 605-9400
Mailing Address
535 W OGDEN AVE NAPERVILLE, IL 60563
Mailing Phone
(630) 605-9400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2007
Last Update Date
08-22-2020
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
5101289
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.

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

CHERYL BLACK

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(630) 605-9400

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
14D2195606
Facility Type
Assisted Living Facility
Certificate Effective Date
October 09, 2024
Certificate Expiration Date
October 08, 2026
Laboratory Director
KATHLEEN RUTLEDGE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sunrise Of Naperville North 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.
1336341924
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236664294
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 4 + 2 + 9 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1336341924 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013110402MRS. TINA MICHELLE EVANS
Individual
Physical Therapy Assistant535 W OGDEN AVE
NAPERVILLE, IL 60563
(630) 428-1184
1932642808 SUZANNE MARIE ANDERSON OTR/L
Individual
Occupational Therapist535 W OGDEN AVE
NAPERVILLE, IL 60563
(630) 305-9400
1790898104A & M THERAPY SPECIALISTS
Organization
Physical Therapist535 W OGDEN AVE
NAPERVILLE, IL 60563
(708) 366-7177
1821496555 NICOLE MCWILLIAM M.S., OTR/L
Individual
Occupational Therapist535 W OGDEN AVE
NAPERVILLE, IL 60563
(630) 305-9400
1497403448 MITCHEL WEILER OTR/L
Individual
Occupational Therapist535 W OGDEN AVE
NAPERVILLE, IL 60563
(630) 305-9400
1124718994 DENISE ADKINS M.A. CCC-SLP
Individual
Speech-Language Pathologist535 W OGDEN AVE
NAPERVILLE, IL 60563
(708) 512-7902
1689380933 ALYSSA SEARS
Individual
Occupational Therapist535 W OGDEN AVE
NAPERVILLE, IL 60563
(630) 601-0000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336341924, enumerated in the NPI registry as an "organization" on June 05, 2007

The provider is located at 535 W Ogden Ave Naperville, Il 60563 and the phone number is (630) 605-9400

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 14D2195606 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 June 05, 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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