CLARIDGE AT CICERO
NPI 1487725628
Skilled Nursing Facility in Chicago, IL

NPI Status: Active since November 10, 2006

Contact Information

4437 S CICERO AVE
CHICAGO, IL
ZIP 60632
Phone: (773) 884-0484
Fax: (773) 884-0485

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  • Organization
  • Skilled Nursing Facility

About CLARIDGE AT CICERO

This page provides the complete NPI Profile along with additional information for Claridge At Cicero, a provider established in Chicago, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1487725628 assigned on November 2006. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Claridge At Cicero. The authorized official of this NPI record is Reuven Levitin (Patient Accounts Manager)

NPI
1487725628
Provider Legal Name
RENAISSANCE AT MIDWAY INC
Other Organization Name
CLARIDGE AT CICERO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4437 S CICERO AVE CHICAGO, IL 60632
Location Phone
(773) 884-0484
Location Fax
(773) 884-0485
Mailing Address
7257 N LINCOLN AVE LINCOLNWOOD, IL 60712
Mailing Phone
(847) 933-2600
Mailing Fax
(773) 884-0485
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-10-2006
Last Update Date
03-16-2009
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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
License State
IL
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.

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)
1332BN1400XSuppliers

Durable Medical Equipment & Medical Supplies
Nursing Facility Supplies

5003380001 (IL)
2332BP3500XSuppliers

Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition

5003380001 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

REUVEN LEVITIN

Authorized Official Title
PATIENT ACCOUNTS MANAGER
Authorized Official Phone
(847) 745-6240

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========001MEDICAID (05)IL 
145995MEDICARE OSCAR/CERTIFICATION (06)IL 
5003380001MEDICARE NSC (07)IL 
145995MEDICARE PIN (08)IL 

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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.
1487725628
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671421064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 4 + 2 + 1 + 0 + 6 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1487725628 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316214117 ANNE O'BRIEN MA/CCC-SLP
Individual
Speech-Language Pathologist4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484
1215206735 JOANA MEDINA LLANES PT
Individual
Physical Therapist4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484
1235408758 DENINE MARTIN OTR/L
Individual
Occupational Therapist4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484
1457621971 SASHA SHOHREH SALAMIAN MS, CCC-SLP
Individual
Speech-Language Pathologist4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484
1407126477 NICOLE PERTEETE COTA
Individual
Occupational Therapy Assistant4437 S CICERO AVE
CHICAGO, IL 60632
(773) 955-1364
1033460738MS. MEGAN ROSE PAONE M. S. CCC-SLP
Individual
Speech-Language Pathologist4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484
1912385683SYMPHONY MIDWAY LLC
Organization
Skilled Nursing Facility4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484
1588194419 COLLEEN OLIVIA MONKS FNP
Individual
Nurse Practitioner (Family)4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484
1215498290MS. STANCI ROSE DAWSON NP-C
Individual
Nurse Practitioner (Family)4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484
1679138333MRS. BERNADETTE BARIAS BENDIK
Individual
Physical Therapy Assistant4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484
1912026584MISS KAREN HAZEL WHITMAN APN
Individual
Nurse Practitioner (Adult Health)4437 S CICERO AVE
CHICAGO, IL 60632
(312) 758-1435
1427786706 JULIO CESAR LOPEZ LCSW
Individual
Social Worker (Clinical)4437 S CICERO AVE
CHICAGO, IL 60632
(773) 531-9329
1982393757ARCHER HEIGHTS HEALTHCARE LLC
Organization
Skilled Nursing Facility4437 S CICERO AVE
CHICAGO, IL 60632
(773) 884-0484

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487725628, enumerated in the NPI registry as an "organization" on November 10, 2006

The provider is located at 4437 S Cicero Ave Chicago, Il 60632 and the phone number is (773) 884-0484

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 10, 2006. 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.