Nicasa in Round Lake - Rehabilitation, Substance Use Disorder
Nicasa - NPI 1457573099
Nicasa is a Rehabilitation, Substance Use Disorder in Round Lake, Illinois. Nicasa practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Nicasa is 1457573099. The last update date is 2021-04-06.
Nicasa's current location address is 31979 N Fish Lkae Rd, Round Lake, Illinois. You can contact this provider via phone number 8475466450 and fax number 8475466760. The mailing address for Nicasa is 31979 N Fish Lkae Rd, Round Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nicasa |
|---|---|
| Address | 31979 N Fish Lkae Rd, Round Lake, Illinois |
| Phone Number | 8475466450 |
| Fax Number | 8475466760 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Johnson Bruce |
| Telephone Number | 8475466450 |
NPI Number Detail
| NPI Number | 1457573099 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2021-04-06 |
Provider Mailing Address Detail
| Address | 31979 N Fish Lkae Rd |
|---|---|
| City | Round Lake |
| State | Illinois (IL) |
| Post Code | 60073 |
| Phone Number | 8475466450 |
| Fax Number | 8475466760 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CA06140002A | IL | -- | |
| CA06140005A | IL | -- | |
| A06140005A | IL | STATE OF ILLINOIS | |
| A06140004A | IL | STATE OF ILLINOIS | |
| CA06140001A | IL | -- | |
| A06140003A | IL | STATE OF ILLINOIS | |
| A06140001A | IL | STATE OF ILLINOIS | |
| A06140002A | IL | STATE OF ILLINOIS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Nicasa by the Centers for Medicare & Medicaid Services?
The Nicasa has been issued the NPI (National Provider Identifier) 1457573099, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Nicasa?
The Nicasa is situated at 31979 N Fish Lkae Rd, in the city of Round Lake, state of IL, with the zip code 60073.
What is Nicasa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nicasa's specialized field of practice is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0405X.
On what date was the 1457573099 assigned to Nicasa?
The Nicasa was issued its 1457573099 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Nicasa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nicasa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-06.
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