CC LAKE INC
NPI 1396205621
Assisted Living Facility in Glenview, IL

NPI Status: Active since March 22, 2019

Contact Information

2401 INDIGO LN
GLENVIEW, IL
ZIP 60026
Phone: (847) 904-4600

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  • Organization
  • Assisted Living Facility

About CC LAKE INC

This page provides the complete NPI Profile along with additional information for Cc Lake Inc, a provider established in Glenview, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1396205621 assigned on March 2019. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Tara Cope (Svp & General Counsel)

NPI
1396205621
Provider Name
CC LAKE INC
Entity Type
Organization
Location Address
2401 INDIGO LN GLENVIEW, IL 60026
Location Phone
(847) 904-4600
Mailing Address
71 S WACKER DR STE 900 CHICAGO, IL 60606
Mailing Phone
(312) 803-8800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2019
Last Update Date
03-22-2019
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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
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

TARA COPE

Authorized Official Title
SVP & GENERAL COUNSEL
Authorized Official Phone
(312) 803-8555

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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.
1396205621
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186401064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 4 + 0 + 1 + 0 + 6 + 4 + 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 1396205621 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376801779MISS MICHELE SPIEGEL OTR/L
Individual
Occupational Therapist2401 INDIGO LN
GLENVIEW, IL 60026
(847) 904-4717
1164904892 KILEY M WALDER OTR
Individual
Occupational Therapist2401 INDIGO LN
GLENVIEW, IL 60026
(847) 904-4717
1649220906CC LAKE INC
Organization
Skilled Nursing Facility2401 INDIGO LN
GLENVIEW, IL 60026
(847) 904-4710
1750954962 PATRICK ALTONAGA
Individual
Physical Therapy Assistant2401 INDIGO LN
GLENVIEW, IL 60026
(888) 960-8754

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396205621, enumerated in the NPI registry as an "organization" on March 22, 2019

The provider is located at 2401 Indigo Ln Glenview, Il 60026 and the phone number is (847) 904-4600

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

This NPI record was last updated on March 22, 2019. 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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