St. John'S Healing Community Board in Collinsville - Adult Day Care
St. John'S Healing Community Board - NPI 1871712430
St. John'S Healing Community Board is a Adult Day Care in Collinsville, Illinois. St. John'S Healing Community Board practices all healthcare services and medical treatments related to Adult Day Care. The NPI Number for St. John'S Healing Community Board is 1871712430. The last update date is 2020-08-22.
St. John'S Healing Community Board's current location address is 222 Goethe Ave, Collinsville, Illinois. You can contact this provider via phone number 6183445008 and fax number 6183444969. The mailing address for St. John'S Healing Community Board is 222 Goethe Ave, Collinsville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. John'S Healing Community Board |
|---|---|
| Address | 222 Goethe Ave, Collinsville, Illinois |
| Phone Number | 6183445008 |
| Fax Number | 6183444969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Berry J. Nancy |
| Credentials | MHA |
| Telephone Number | 6183445008 |
NPI Number Detail
| NPI Number | 1871712430 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 222 Goethe Ave |
|---|---|
| City | Collinsville |
| State | Illinois (IL) |
| Post Code | 622343306 |
| Phone Number | 6183445008 |
| Fax Number | 6183444969 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Day Care |
|---|---|
| Taxonomy | 261Qa0600X |
|
Definition: Provides health, therapeutic and social services to impaired older adults and disabled individuals during daytime hours. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AD001-2002-2007 | IL | DEPT. OF REHABILITATION | |
| 96HM00649501 | IL | DEPT. OF RHABILITATION |
Post Comment/ Review Below
What is the unique provider identifier assigned to St. John'S Healing Community Board?
The St. John'S Healing Community Board has been issued the NPI (National Provider Identifier) 1871712430 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the St. John'S Healing Community Board located?
The St. John'S Healing Community Board is located at 222 Goethe Ave, Collinsville, IL 622343306.
What is St. John'S Healing Community Board's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The St. John'S Healing Community Board's specialized field of practice is Adult Day Care, and the corresponding taxonomy code that categorizes this area of specialization is 261Qa0600X.
When did the St. John'S Healing Community Board receive its 1871712430?
The St. John'S Healing Community Board was issued its 1871712430 on 2007-04-24, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding St. John'S Healing Community Board, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to St. John'S Healing Community Board, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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