PRIME HEALTHCARE LIVING - HERITAGE VILLAGE - LODGE LLC
NPI 1376362111
Skilled Nursing Facility in Joliet, IL

NPI Status: Active since October 08, 2024

Contact Information

210 SPRINGFIELD AVE
JOLIET, IL
ZIP 60435
Phone: (815) 725-3400

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  • Organization
  • Skilled Nursing Facility

About PRIME HEALTHCARE LIVING - HERITAGE VILLAGE - LODGE LLC

This page provides the complete NPI Profile along with additional information for Prime Healthcare Living - Heritage Village - Lodge Llc, a provider established in Joliet, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1376362111 assigned on October 2024. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Christopher Doan (Managing Associate General Counsel)

NPI
1376362111
Provider Name
PRIME HEALTHCARE LIVING - HERITAGE VILLAGE - LODGE LLC
Entity Type
Organization
Location Address
210 SPRINGFIELD AVE JOLIET, IL 60435
Location Phone
(815) 725-3400
Mailing Address
210 SPRINGFIELD AVE JOLIET, IL 60435
Mailing Phone
(815) 725-3400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-08-2024
Last Update Date
10-08-2024
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

CHRISTOPHER DOAN

Authorized Official Title
MANAGING ASSOCIATE GENERAL COUNSEL
Authorized Official Phone
(310) 259-4706

Reviews for PRIME HEALTHCARE LIVING - HERITAGE VILLAGE - LODGE LLC

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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.
1376362111
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314666412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 6 + 6 + 4 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1376362111 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093271637 TWYLA CALL COTA
Individual
Physical Medicine & Rehabilitation210 SPRINGFIELD AVE
JOLIET, IL 60435
(815) 725-3400
1558994533 LAARNIE ROJAS
Individual
Physical Therapy Assistant210 SPRINGFIELD AVE
JOLIET, IL 60435
(815) 725-3400
1912726571PRIME HEALTHCARE LIVING - VILLA FRANCISCAN PLACE LLC
Organization
Skilled Nursing Facility210 SPRINGFIELD AVE
JOLIET, IL 60435
(815) 725-3400
1588472005PRIME HEALTHCARE SENIOR LIVING, LLC
Organization
Skilled Nursing Facility210 SPRINGFIELD AVE
JOLIET, IL 60435
(815) 725-3400
1922094051PRESENCE LIFE CONNECTIONS
Organization
Skilled Nursing Facility210 SPRINGFIELD AVE
JOLIET, IL 60435
(815) 725-3400
1346124955JOLIET SKILLED NURSING FACILITY LLC
Organization
Skilled Nursing Facility210 SPRINGFIELD AVE
JOLIET, IL 60435
(815) 725-3400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376362111, enumerated in the NPI registry as an "organization" on October 08, 2024

The provider is located at 210 Springfield Ave Joliet, Il 60435 and the phone number is (815) 725-3400

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on October 08, 2024. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.