SOUTHSIDE MANOR
NPI 1487788311
Intermediate Care Facility, Intellectual Disabilities in Decatur, IL
NPI Status: Active since March 15, 2007
Contact Information
729 S WEBSTER ST
DECATUR, IL
ZIP 62521
Phone: (217) 422-5478
Fax: (217) 422-2143
- Organization
- Intermediate Care Facility, Intellectual...
About SOUTHSIDE MANOR
This page provides the complete NPI Profile along with additional information for Southside Manor, a provider established in Decatur, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1487788311 assigned on March 2007. The practitioner's primary taxonomy code is 315P00000X with license number 0046961 (IL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Southside Manor. The authorized official of this NPI record is Ms. Angela Cornell (President)
- NPI
- 1487788311
- Provider Legal Name
- ALPHA OMEGA CONSULTING, INC.
- Other Organization Name
- SOUTHSIDE MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 729 S WEBSTER ST DECATUR, IL 62521
- Location Phone
- (217) 422-5478
- Location Fax
- (217) 422-2143
- Mailing Address
- 729 S WEBSTER ST DECATUR, IL 62521
- Mailing Phone
- (217) 422-5478
- Mailing Fax
- (217) 422-2143
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-15-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 0046961
- License State
- IL
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
Reviews for SOUTHSIDE MANOR
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
1 | 4 | 8 | 7 | 7 | 8 | 8 | 3 | 1 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 16 | 7 | 14 | 8 | 16 | 3 | 2 | |
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 + 8 + 1 + 6 + 3 + 2 + 24 = 69 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 69 = 1 | 1 |
The NPI number 1487788311 is valid because the calculated check digit 1 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 1487788311, enumerated in the NPI registry as an "organization" on March 15, 2007
The provider is located at 729 S Webster St Decatur, Il 62521 and the phone number is (217) 422-5478
This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X
This NPI record was last updated on March 15, 2007. 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.