AFFINITY HOSPICE LLC
NPI 1891418752
Hospice Care, Community Based in Des Plaines, IL

NPI Status: Active since September 26, 2022

Contact Information

2720 S RIVER RD STE 132
DES PLAINES, IL
ZIP 60018
Phone: (224) 357-1101
Fax: (224) 357-1104

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 14D2293016
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 11-01-2025

About AFFINITY HOSPICE LLC

This page provides the complete NPI Profile along with additional information for Affinity Hospice Llc, a provider established in Des Plaines, Illinois operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1891418752 assigned on September 2022. The practitioner's primary taxonomy code is 251G00000X. 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 Jeanette J Yang (Ceo)

NPI
1891418752
Provider Name
AFFINITY HOSPICE LLC
Entity Type
Organization
Location Address
2720 S RIVER RD STE 132 DES PLAINES, IL 60018
Location Phone
(224) 357-1101
Location Fax
(224) 357-1104
Mailing Address
2720 S RIVER RD STE 132 DES PLAINES, IL 60018
Mailing Phone
(224) 357-1101
Mailing Fax
(224) 357-1104
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2022
Last Update Date
09-01-2023
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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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

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

JEANETTE J YANG

Authorized Official Title
CEO
Authorized Official Phone
(224) 357-1101

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
14D2293016
Facility Type
Hospice
Certificate Effective Date
November 02, 2023
Certificate Expiration Date
November 01, 2025
Laboratory Director
FELICITAS RAMOS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Affinity Hospice Llc 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.
1891418752
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281818116710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 8 + 1 + 1 + 6 + 7 + 1 + 0 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1891418752 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891418752, enumerated in the NPI registry as an "organization" on September 26, 2022

The provider is located at 2720 S River Rd Ste 132 Des Plaines, Il 60018 and the phone number is (224) 357-1101

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider's CLIA number is 14D2293016 for a "hospice" 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 September 26, 2022. 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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