MENARD CONVALESCENT CENTER, INC
NPI 1720035611
Skilled Nursing Facility in Petersburg, IL

NPI Status: Active since May 27, 2006

Contact Information

120 W ANTLE ST
PETERSBURG, IL
ZIP 62675
Phone: (217) 632-2249
Fax: (217) 632-7810

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  • Organization
  • Skilled Nursing Facility

About MENARD CONVALESCENT CENTER, INC

This page provides the complete NPI Profile along with additional information for Menard Convalescent Center, Inc, a provider established in Petersburg, Illinois operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1720035611 assigned on May 2006. The practitioner's primary taxonomy code is 314000000X with license number 0003020 (IL). 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 Jerry Jennings (Controller)

NPI
1720035611
Provider Name
MENARD CONVALESCENT CENTER, INC
Entity Type
Organization
Location Address
120 W ANTLE ST PETERSBURG, IL 62675
Location Phone
(217) 632-2249
Location Fax
(217) 632-7810
Mailing Address
2653 W LAWRENCE AVE SUITE B SPRINGFIELD, IL 62704
Mailing Phone
(217) 787-8530
Mailing Fax
(217) 632-7810
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2006
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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
0003020
License State
IL
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

JERRY JENNINGS

Authorized Official Title
CONTROLLER
Authorized Official Phone
(217) 787-8530

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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.
1720035611
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740031062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 3 + 1 + 0 + 6 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1720035611 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
1003068776MENARD CONVALESCENT CENTER, INC
Organization
Skilled Nursing Facility120 W ANTLE ST
PETERSBURG, IL 62675
(217) 632-2249

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720035611, enumerated in the NPI registry as an "organization" on May 27, 2006

The provider is located at 120 W Antle St Petersburg, Il 62675 and the phone number is (217) 632-2249

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on May 27, 2006. 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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