HERITAGE WOODS OF MCLEANSBORO
NPI 1972946382
Assisted Living Facility in Mc Leansboro, IL

NPI Status: Active since April 16, 2013

Contact Information

605 S MARSHALL AVE
MC LEANSBORO, IL
ZIP 62859
Phone: (618) 643-2908

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  • Organization
  • Assisted Living Facility

About HERITAGE WOODS OF MCLEANSBORO

This page provides the complete NPI Profile along with additional information for Heritage Woods Of Mcleansboro, a provider established in Mc Leansboro, Illinois operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1972946382 assigned on April 2013. The practitioner's primary taxonomy code is 310400000X with license number 001 (IL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Heritage Woods Of Mcleansboro. The authorized official of this NPI record is Kendra Jo Millenbine (Administrator)

NPI
1972946382
Provider Legal Name
FOX MEADOWS SLF LP
Other Organization Name
HERITAGE WOODS OF MCLEANSBORO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
605 S MARSHALL AVE MC LEANSBORO, IL 62859
Location Phone
(618) 643-2908
Mailing Address
605 S MARSHALL AVE MC LEANSBORO, IL 62859
Mailing Phone
(618) 643-2908
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-16-2013
Last Update Date
07-21-2022
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
001
License State
IL
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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

KENDRA JO MILLENBINE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(618) 643-2908

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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.
1972946382
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2914218412316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 8 + 4 + 1 + 2 + 3 + 1 + 6 + 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 1972946382 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 1972946382, enumerated in the NPI registry as an "organization" on April 16, 2013

The provider is located at 605 S Marshall Ave Mc Leansboro, Il 62859 and the phone number is (618) 643-2908

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

This NPI record was last updated on April 16, 2013. 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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