CAMBODIAN ASSOCIATION OF ILLINOIS
NPI 1396156717
In Home Supportive Care in Bloomingdale, IL

NPI Status: Active since May 20, 2014

Contact Information

123 E LAKE ST STE 204
BLOOMINGDALE, IL
ZIP 60108
Phone: (773) 878-7090
Fax: (773) 878-5299

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  • Organization
  • In Home Supportive Care

About CAMBODIAN ASSOCIATION OF ILLINOIS

This page provides the complete NPI Profile along with additional information for Cambodian Association Of Illinois, a provider established in Bloomingdale, Illinois operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1396156717 assigned on May 2014. The practitioner's primary taxonomy code is 253Z00000X with license number INH1012030 (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 Kompha Seth (Executive Director)

NPI
1396156717
Provider Name
CAMBODIAN ASSOCIATION OF ILLINOIS
Entity Type
Organization
Location Address
123 E LAKE ST STE 204 BLOOMINGDALE, IL 60108
Location Phone
(773) 878-7090
Location Fax
(773) 878-5299
Mailing Address
2831 W LAWRENCE AVE CHICAGO, IL 60625
Mailing Phone
(773) 878-7090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2014
Last Update Date
05-19-2016
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
INH1012030
License State
IL
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1253Z00000XAgencies

In Home Supportive Care

INH1413006 (IL)
2253Z00000XAgencies

In Home Supportive Care

INH1402004 (IL)

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

KOMPHA SETH

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(773) 878-7090

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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.
1396156717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186251272
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 2 + 5 + 1 + 2 + 7 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1396156717 is valid because the calculated check digit 7 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
1952985202ILLINOIS HOME CARE SPECIALISTS INC
Organization
Homemaker123 E LAKE ST STE 204
BLOOMINGDALE, IL 60108
(630) 283-3637
1528777877 CORAZON G KRAKAU
Individual
Homemaker123 E LAKE ST STE 204
BLOOMINGDALE, IL 60108
(773) 886-8277
1639644800ILLINOIS HOME CARE SPECIALISTS INC
Organization
Homemaker123 E LAKE ST STE 204
BLOOMINGDALE, IL 60108
(630) 283-3637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396156717, enumerated in the NPI registry as an "organization" on May 20, 2014

The provider is located at 123 E Lake St Ste 204 Bloomingdale, Il 60108 and the phone number is (773) 878-7090

This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X

This NPI record was last updated on May 20, 2014. 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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