ROCKFORD SUPPORTIVE LIVING
NPI 1609907740
Assisted Living Facility in Rockford, IL

NPI Status: Active since March 08, 2007

Contact Information

2114 KISHWAUKEE ST
ROCKFORD, IL
ZIP 61104
Phone: (815) 966-1030
Fax: (815) 966-1090

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  • Organization
  • Assisted Living Facility

About ROCKFORD SUPPORTIVE LIVING

This page provides the complete NPI Profile along with additional information for Rockford Supportive Living, a provider established in Rockford, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1609907740 assigned on March 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Patrick Finn (Member)

NPI
1609907740
Provider Name
ROCKFORD SUPPORTIVE LIVING
Entity Type
Organization
Location Address
2114 KISHWAUKEE ST ROCKFORD, IL 61104
Location Phone
(815) 966-1030
Location Fax
(815) 966-1090
Mailing Address
4711 MIDLOTHIAN TPKE SUITE 20 CRESTWOOD, IL 60445
Mailing Phone
(708) 371-4507
Mailing Fax
(815) 966-1090
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-08-2007
Last Update Date
08-22-2020
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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

PATRICK FINN

Authorized Official Title
MEMBER
Authorized Official Phone
(847) 229-3400

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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.
1609907740
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091801478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 0 + 1 + 4 + 7 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1609907740 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962874289ROCKFORD SLF, LLC
Organization
Assisted Living Facility2114 KISHWAUKEE ST
ROCKFORD, IL 61104
(815) 966-1030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609907740, enumerated in the NPI registry as an "organization" on March 08, 2007

The provider is located at 2114 Kishwaukee St Rockford, Il 61104 and the phone number is (815) 966-1030

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

This NPI record was last updated on March 08, 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].
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