Independence Place, Inc. in Herrin - Nursing Facility/intermediate Care Facility
Independence Place, Inc. - NPI 1871717678
Independence Place, Inc. is a Nursing Facility/intermediate Care Facility in Herrin, Illinois. Independence Place, Inc. practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Independence Place, Inc. is 1871717678. The last update date is 2020-08-22.
Independence Place, Inc.'s current location address is 1705 S Park Ave, Herrin, Illinois. You can contact this provider via phone number 6189427964 and fax number 6189426191. The mailing address for Independence Place, Inc. is 1705 S Park Ave, Herrin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independence Place, Inc. |
|---|---|
| Address | 1705 S Park Ave, Herrin, Illinois |
| Phone Number | 6189427964 |
| Fax Number | 6189426191 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Dodson M Jane |
| Telephone Number | 6183279846 |
NPI Number Detail
| NPI Number | 1871717678 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1705 S Park Ave |
|---|---|
| City | Herrin |
| State | Illinois (IL) |
| Post Code | 629484166 |
| Phone Number | 6189427964 |
| Fax Number | 6189426191 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 37994 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Independence Place, Inc. by the Centers for Medicare & Medicaid Services?
The Independence Place, Inc. has been issued the NPI (National Provider Identifier) 1871717678, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Independence Place, Inc.'s facilities are situated?
The facilities of Independence Place, Inc. are physically located at the following address: 1705 S Park Ave, Herrin, IL, 629484166.
What is the area of specialization for Independence Place, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Independence Place, Inc. is Nursing Facility/intermediate Care Facility, and the corresponding taxonomy code that categorizes this area of expertise is 313M00000X.
On what date did Independence Place, Inc. receive its 1871717678 assignment from the Centers for Medicare & Medicaid Services?
The Independence Place, Inc. was assigned its 1871717678 on 2007-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Independence Place, Inc.'s information last updated?
The Independence Place, Inc.'s information was last updated on 2020-08-22.