Rave Residential Services, Inc in Jonesboro - Intermediate Care Facility, Intellectual Disabilities
Rave Residential Services, Inc - NPI 1720116262
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 1720116262. The last update date is 2020-08-22.
Rave Residential Services, Inc's current location address is 1390 State Route 127 S, Jonesboro, Illinois. You can contact this provider via phone number 6188335344 and fax number 6188338217. The mailing address for Rave Residential Services, Inc is 1390 State Route 127 S, Jonesboro, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rave Residential Services, Inc |
|---|---|
| Address | 1390 State Route 127 S, Jonesboro, Illinois |
| Phone Number | 6188335344 |
| Fax Number | 6188338217 |
| 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 | 1720116262 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1390 State Route 127 S |
|---|---|
| City | Jonesboro |
| State | Illinois (IL) |
| Post Code | 629522488 |
| Phone Number | 6188335344 |
| Fax Number | 6188338217 |
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. |
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Post Comment/ Review Below
What is the unique identifier code issued to Rave Residential Services, Inc by the Centers for Medicare & Medicaid Services?
The Rave Residential Services, Inc has been assigned the NPI (National Provider Identifier) 1720116262. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Rave Residential Services, Inc is geographically located?
The Rave Residential Services, Inc is physically situated at the following location: 1390 State Route 127 S, Jonesboro, IL, 629522488.
What is Rave Residential Services, Inc's area of expertise and its corresponding taxonomy classification?
The Rave Residential Services, Inc's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Rave Residential Services, Inc receive its 1720116262 assignment from the Centers for Medicare & Medicaid Services?
The Rave Residential Services, Inc was assigned its 1720116262 by the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date were the details related to Rave Residential Services, Inc most recently updated or revised?
The information pertaining to Rave Residential Services, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.