CTF ACCESS-SUPR
NPI 1689339590
Clinic/Center - Rehabilitation, Substance Use Disorder in South Holland, IL

NPI Status: Active since November 04, 2021

Contact Information

530 E 162ND ST
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 429-1260
Fax: (708) 429-9170

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About CTF ACCESS-SUPR

This page provides the complete NPI Profile along with additional information for Ctf Access-supr, a provider established in South Holland, Illinois operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1689339590 assigned on November 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Ctf Access-supr operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Ctf Access-supr. The authorized official of this NPI record is Kelli L Cody (Executive Assistant)

NPI
1689339590
Provider Legal Name
CTF ILLINOIS
Other Organization Name
CTF ACCESS-SUPR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
530 E 162ND ST SOUTH HOLLAND, IL 60473
Location Phone
(708) 429-1260
Location Fax
(708) 429-9170
Mailing Address
18230 ORLAND PKWY ORLAND PARK, IL 60467
Mailing Phone
(708) 429-1260
Mailing Fax
(708) 429-9170
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2021
Last Update Date
01-12-2022
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
41041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

KELLI L CODY

Authorized Official Title
EXECUTIVE ASSISTANT
Authorized Official Phone
(708) 429-1260

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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.
1689339590
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261696318518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 6 + 3 + 1 + 8 + 5 + 1 + 8 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1689339590 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1922597186 AMINAT ABISOLA ISHADIMU
Individual
Case Manager/Care Coordinator530 E 162ND ST
SOUTH HOLLAND, IL 60473
(708) 825-1986
1194183699CTF ILLINOIS
Organization
Non-emergency Medical Transport (VAN)530 E 162ND ST
SOUTH HOLLAND, IL 60473
(708) 825-1986
1356706881CTF ILLINOIS
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))530 E 162ND ST
SOUTH HOLLAND, IL 60473
(708) 429-1260
1053177782CORNERSTONE SERVICES, INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))530 E 162ND ST
SOUTH HOLLAND, IL 60473
(815) 727-6666

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689339590, enumerated in the NPI registry as an "organization" on November 04, 2021

The provider is located at 530 E 162nd St South Holland, Il 60473 and the phone number is (708) 429-1260

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on November 04, 2021. 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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