GOLD COAST HOME HEALTH, INC.
NPI 1710128418
Home Health in Olympia Fields, IL
NPI Status: Active since March 10, 2009
Contact Information
20200 GOVERNORS DR STE 204
OLYMPIA FIELDS, IL
ZIP 60461
Phone: (773) 488-3800
- Organization
- Home Health
- CLIA Number: 14D1102508
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 07-19-2025
About GOLD COAST HOME HEALTH, INC.
This page provides the complete NPI Profile along with additional information for Gold Coast Home Health, Inc., a provider established in Olympia Fields, Illinois operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1710128418 assigned on March 2009. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Reuben Cudjoe Hadzide Mr. (Administrator/president)
- NPI
- 1710128418
- Provider Name
- GOLD COAST HOME HEALTH, INC.
- Entity Type
- Organization
- Location Address
- 20200 GOVERNORS DR STE 204 OLYMPIA FIELDS, IL 60461
- Location Phone
- (773) 488-3800
- Mailing Address
- 5291 PROVIDENCE DR MATTESON, IL 60443
- Mailing Phone
- (312) 315-1934
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-10-2009
- Last Update Date
- 12-06-2023
- 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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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
- 14D1102508
- Facility Type
- Home Health Agency
- Certificate Effective Date
- July 20, 2023
- Certificate Expiration Date
- July 19, 2025
- Laboratory Director
- JOHN A. AWAH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Gold Coast Home Health, 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 | 1 | 0 | 1 | 2 | 8 | 4 | 1 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 2 | 2 | 16 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 2 + 2 + 1 + 6 + 4 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1710128418 is valid because the calculated check digit 8 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 |
|---|---|---|---|
| 1558957324 | MR. REUBEN C HADZIDE REGISTERED NURSE, RN Individual | Custodial Care Facility (Adult Care Home) | 20200 GOVERNORS DR STE 204 OLYMPIA FIELDS, IL 60461 (708) 991-7126 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710128418, enumerated in the NPI registry as an "organization" on March 10, 2009
The provider is located at 20200 Governors Dr Ste 204 Olympia Fields, Il 60461 and the phone number is (773) 488-3800
This medical organization specializes in Home Health with taxonomy code 251E00000X
The provider's CLIA number is 14D1102508 for a "home health agency" 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 March 10, 2009. 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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