KILKER PINE ACRES GROUP HOME
NPI 1487986436
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Dixon, IL

NPI Status: Active since February 02, 2010

Contact Information

922 WASHINGTON AVE
DIXON, IL
ZIP 61021
Phone: (815) 288-4422

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  • Organization
  • Residential Treatment Facility, Intellec...

About KILKER PINE ACRES GROUP HOME

This page provides the complete NPI Profile along with additional information for Kilker Pine Acres Group Home, a provider established in Dixon, Illinois operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1487986436 assigned on February 2010. The practitioner's primary taxonomy code is 320600000X with license number 26385 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Kilker Pine Acres Group Home. The authorized official of this NPI record is Mr. Jeffrey J Stauter (Executive Director)

NPI
1487986436
Provider Legal Name
KREIDER SERVICES INC
Other Organization Name
KILKER PINE ACRES GROUP HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
922 WASHINGTON AVE DIXON, IL 61021
Location Phone
(815) 288-4422
Mailing Address
PO BOX 366 DIXON, IL 61021
Mailing Phone
(815) 288-6691
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2010
Last Update Date
08-19-2014
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
26385
License State
IL
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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

MR. JEFFREY J STAUTER

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(815) 288-6691

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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.
1487986436
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671881246
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 8 + 8 + 1 + 2 + 4 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1487986436 is valid because the calculated check digit 6 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
1366000176 GREGG RIPLEY
Individual
Counselor (Mental Health)922 WASHINGTON AVE
DIXON, IL 61021
(815) 994-4129
1659913929 EMMA SWANSON
Individual
Counselor (Addiction (Substance Use Disorder))922 WASHINGTON AVE
DIXON, IL 61021
(815) 994-4129
1588171821SINNISSIPPI CENTERS, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))922 WASHINGTON AVE
DIXON, IL 61021
(815) 284-6611
1679080915SINNISSIPPI CENTERS, INC.
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)922 WASHINGTON AVE
DIXON, IL 61021
(815) 284-6611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487986436, enumerated in the NPI registry as an "organization" on February 02, 2010

The provider is located at 922 Washington Ave Dixon, Il 61021 and the phone number is (815) 288-4422

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

This NPI record was last updated on February 02, 2010. 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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