Pioneer Concepts Inc in South Holland - Intermediate Care Facility, Intellectual Disabilities
Pioneer Concepts Inc - NPI 1518130129
Pioneer Concepts Inc is a Intermediate Care Facility, Intellectual Disabilities in South Holland, Illinois. Pioneer Concepts Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Pioneer Concepts Inc is 1518130129. The last update date is 2008-04-20.
Pioneer Concepts Inc's current location address is 15175 State Street, South Holland, Illinois. You can contact this provider via phone number 7083335013 and fax number 7083335034. The mailing address for Pioneer Concepts Inc is 15175 State Street, South Holland, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pioneer Concepts Inc |
|---|---|
| Address | 15175 State Street, South Holland, Illinois |
| Phone Number | 7083335013 |
| Fax Number | 7083335034 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Wilson J Ronald |
| Telephone Number | 3093431550 |
NPI Number Detail
| NPI Number | 1518130129 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 15175 State Street |
|---|---|
| City | South Holland |
| State | Illinois (IL) |
| Post Code | 604731060 |
| Phone Number | 7083335013 |
| Fax Number | 7083335034 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 43240 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique provider identifier assigned to Pioneer Concepts Inc?
The Pioneer Concepts Inc has been issued the NPI (National Provider Identifier) 1518130129 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pioneer Concepts Inc?
The Pioneer Concepts Inc is physically situated at 15175 State Street, in the city of South Holland, state of IL, with the postal code 604731060.
What is Pioneer Concepts Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pioneer Concepts Inc's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Pioneer Concepts Inc receive the assignment of its 1518130129 from the Centers for Medicare & Medicaid Services?
The Pioneer Concepts Inc was issued its 1518130129 by the Centers for Medicare & Medicaid Services on 2008-04-04.
As of what date were the details related to Pioneer Concepts Inc most recently updated or revised?
The information pertaining to Pioneer Concepts Inc, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.
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