ILLINOIS DEPARTMENT OF HUMAN SERVICES
ILLINOIS DEPARTMENT OF HUMAN SERVICES is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003960394, based in Centralia, IL. The organization lists 2 taxonomy classifications, with Intellectual Disabilities Intermediate Care Facility recorded as primary.
Getting there
The practice address on file is 1535 W MCCORD ST, Centralia, IL 62801. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 805-8000 | IL | Intellectual and/or Developmental… |
This provider holds licence 805-8000 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9830003920
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Intermediate Care Facility, Intellectual Disabilities covers
An intermediate care facility providing services for individuals with intellectual disabilities. NUCC Health Care Provider Taxonomy, code 315P00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 315P00000X | Intellectual Disabilities Intermediate Care Facility | — | — | primary |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 805-8000 | IL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003960394 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 23, 2007 |
| Last updated | Dec 22, 2016 |
| Status | Active |
| Practice address |
1535 W MCCORD ST Centralia, IL 62801 (618) 532-1811 |
| Other identifiers |
14-G053
(IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 9 | 6 | 0 | 3 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 9 | 6 | 0 | 3 | 9 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.