Rave Residential Services, Inc in Jonesboro - Intermediate Care Facility, Intellectual Disabilities
Rave Residential Services, Inc - NPI 1609069335
Rave Residential Services, Inc is a Intermediate Care Facility, Intellectual Disabilities in Jonesboro, Illinois. Rave Residential Services, Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Rave Residential Services, Inc is 1609069335. The last update date is 2008-04-20.
Rave Residential Services, Inc's current location address is 1430 State Route 127 S, Jonesboro, Illinois. You can contact this provider via phone number 6188338033 and fax number 6188338035. The mailing address for Rave Residential Services, Inc is 1430 State Route 127 S, Jonesboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rave Residential Services, Inc |
|---|---|
| Address | 1430 State Route 127 S, Jonesboro, Illinois |
| Phone Number | 6188338033 |
| Fax Number | 6188338035 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Griffith L Gary |
| Credentials | L.N.H.A. |
| Telephone Number | 6188335344 |
NPI Number Detail
| NPI Number | 1609069335 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 1430 State Route 127 S |
|---|---|
| City | Jonesboro |
| State | Illinois (IL) |
| Post Code | 629522489 |
| Phone Number | 6188338033 |
| Fax Number | 6188338035 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 40970 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Rave Residential Services, Inc by the Centers for Medicare & Medicaid Services?
The Rave Residential Services, Inc has been issued the NPI (National Provider Identifier) 1609069335, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Rave Residential Services, Inc is located?
The Rave Residential Services, Inc is situated at the following address: 1430 State Route 127 S, Jonesboro, IL, 629522489.
What is Rave Residential Services, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rave Residential Services, Inc is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.
On what date did the Rave Residential Services, Inc receive its 1609069335 assignment from the Centers for Medicare & Medicaid Services?
The Rave Residential Services, Inc was assigned its 1609069335 by the Centers for Medicare & Medicaid Services on 2007-08-27.
As of what date was the information pertaining to Rave Residential Services, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Rave Residential Services, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-20.
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