ROSELYN SHINE
NPI 1962888511
Community/Behavioral Health in Park Forest, IL

NPI Status: Active since August 05, 2015

Contact Information

153 NANTI ST
PARK FOREST, IL
ZIP 60466
Phone: (708) 743-7011
Fax: (708) 506-3900

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  • Individual
  • Female
  • Community/Behavioral Health

About ROSELYN SHINE

This page provides the complete NPI Profile along with additional information for Roselyn Shine, a provider established in Park Forest, Illinois with a medical specialization in Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1962888511 assigned on August 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1962888511
Provider Name
ROSELYN SHINE
Gender
Female
Entity Type
Individual
Location Address
153 NANTI ST PARK FOREST, IL 60466
Location Phone
(708) 743-7011
Location Fax
(708) 506-3900
Mailing Address
153 NANTI ST PARK FOREST, IL 60466
Mailing Phone
(708) 743-7011
Mailing Fax
(708) 506-3900
Is Sole Proprietor?
Yes
Enumeration Date
08-05-2015
Last Update Date
08-05-2015
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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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.
1962888511
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221681652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 6 + 8 + 1 + 6 + 5 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1962888511 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
1538524236SHINE ON ME INC. OF ILLINOIS
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities153 NANTI ST
PARK FOREST, IL 60466
(708) 506-3900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962888511, enumerated in the NPI registry as an "individual" on August 05, 2015

The provider is located at 153 Nanti St Park Forest, Il 60466 and the phone number is (708) 743-7011

The provider's speciality is Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on August 05, 2015. 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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