THREE SPRINGS LODGE NURSING HOME INC
NPI 1700885951
Nursing Facility/Intermediate Care Facility in Chester, IL
NPI Status: Active since July 19, 2005
Contact Information
161 3 SPRINGS RD
CHESTER, IL
ZIP 62233
Phone: (618) 826-3210
Fax: (618) 826-3821
- Organization
- Nursing Facility/Intermediate Care Facil...
- CLIA Number: 14D0857732
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About THREE SPRINGS LODGE NURSING HOME INC
This page provides the complete NPI Profile along with additional information for Three Springs Lodge Nursing Home Inc, a provider established in Chester, Illinois operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1700885951 assigned on July 2005. The practitioner's primary taxonomy code is 313M00000X. 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 Mr. Roger W Bagley (Controller)
- NPI
- 1700885951
- Provider Name
- THREE SPRINGS LODGE NURSING HOME INC
- Entity Type
- Organization
- Location Address
- 161 3 SPRINGS RD CHESTER, IL 62233
- Location Phone
- (618) 826-3210
- Location Fax
- (618) 826-3821
- Mailing Address
- 161 3 SPRINGS RD CHESTER, IL 62233
- Mailing Phone
- (618) 826-3210
- Mailing Fax
- (618) 826-3821
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-19-2005
- 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
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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) |
|---|
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0857732
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- SCOTT STOUT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Three Springs Lodge Nursing Home Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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. | |||||||||
| 1 | 7 | 0 | 0 | 8 | 8 | 5 | 9 | 5 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 16 | 8 | 10 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 6 + 8 + 1 + 0 + 9 + 1 + 0 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1700885951 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1881386670 | THREE SPRINGS SENIOR LIVING & REHABILITATION LLC Organization | Skilled Nursing Facility | 161 3 SPRINGS RD CHESTER, IL 62233 (618) 826-3210 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700885951, enumerated in the NPI registry as an "organization" on July 19, 2005
The provider is located at 161 3 Springs Rd Chester, Il 62233 and the phone number is (618) 826-3210
This medical organization specializes in Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X
The provider's CLIA number is 14D0857732 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 19, 2005. 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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