Beverly Farm Foundation in Godfrey - Intermediate Care Facility, Intellectual Disabilities
Beverly Farm Foundation - NPI 1265506091
Beverly Farm Foundation is a Intermediate Care Facility, Intellectual Disabilities in Godfrey, Illinois. Beverly Farm Foundation practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Beverly Farm Foundation is 1265506091. The last update date is 2016-08-25.
Beverly Farm Foundation's current location address is 6301 Humbert Rd, Godfrey, Illinois. You can contact this provider via phone number 6184660367 and fax number 6184663652. The mailing address for Beverly Farm Foundation is 6301 Humbert Rd, Godfrey, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beverly Farm Foundation |
|---|---|
| Address | 6301 Humbert Rd, Godfrey, Illinois |
| Phone Number | 6184660367 |
| Fax Number | 6184663652 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Miller Brenda |
| Telephone Number | 6184660367 |
NPI Number Detail
| NPI Number | 1265506091 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2016-08-25 |
Provider Mailing Address Detail
| Address | 6301 Humbert Rd |
|---|---|
| City | Godfrey |
| State | Illinois (IL) |
| Post Code | 620352163 |
| Phone Number | 6184660367 |
| Fax Number | 6184663652 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 37713 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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What is the unique 10-digit identifier code issued to Beverly Farm Foundation by the Centers for Medicare & Medicaid Services?
The Beverly Farm Foundation has been assigned the NPI (National Provider Identifier) 1265506091 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Beverly Farm Foundation located?
The Beverly Farm Foundation is located at 6301 Humbert Rd, Godfrey, IL 620352163.
What is the Beverly Farm Foundation's specialty and taxonomy code?
The Beverly Farm Foundation's specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
On what date did the Beverly Farm Foundation receive the assignment of its 1265506091 from the Centers for Medicare & Medicaid Services?
The Beverly Farm Foundation was issued its 1265506091 by the Centers for Medicare & Medicaid Services on 2006-11-20.
As of what date were the Beverly Farm Foundation's details last updated?
The information pertaining to the Beverly Farm Foundation, including its address, specialty, and other details, was most recently updated on 2016-08-25.