DHS
NPI 1356890453
Residential Treatment Facility, Physical Disabilities in Fairfield, IL

NPI Status: Active since September 30, 2016

Contact Information

109 W WILSON ST
FAIRFIELD, IL
ZIP 62837
Phone: (618) 516-2920

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About DHS

This page provides the complete NPI Profile along with additional information for Dhs, a provider established in Fairfield, Illinois operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1356890453 assigned on September 2016. The practitioner's primary taxonomy code is 320700000X with license number 376K00000X (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Jennifer Weedman (Cna)

NPI
1356890453
Provider Name
DHS
Entity Type
Organization
Location Address
109 W WILSON ST FAIRFIELD, IL 62837
Location Phone
(618) 516-2920
Mailing Address
109 W WILSON ST FAIRFIELD, IL 62837
Mailing Phone
(618) 516-2920
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2016
Last Update Date
09-30-2016
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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

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
License No.
376K00000X
License State
IL
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

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

JENNIFER WEEDMAN

Authorized Official Title
CNA
Authorized Official Phone
(618) 516-2920

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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.
1356890453
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231061690410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 6 + 9 + 0 + 4 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1356890453 is valid because the calculated check digit 3 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 1356890453, enumerated in the NPI registry as an "organization" on September 30, 2016

The provider is located at 109 W Wilson St Fairfield, Il 62837 and the phone number is (618) 516-2920

This medical organization specializes in Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X

This NPI record was last updated on September 30, 2016. 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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