Southern Illinois Living Centers Inc. in New Baden - Intermediate Care Facility, Intellectual Disabilities
Southern Illinois Living Centers Inc. - NPI 1174518278
Southern Illinois Living Centers Inc. is a Intermediate Care Facility, Intellectual Disabilities in New Baden, Illinois. Southern Illinois Living Centers Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Southern Illinois Living Centers Inc. is 1174518278. The last update date is 2011-11-09.
Southern Illinois Living Centers Inc.'s current location address is 111 E Illinois St, New Baden, Illinois. You can contact this provider via phone number 6185884924 and fax number 6185884673. The mailing address for Southern Illinois Living Centers Inc. is 111 E Illinois St, New Baden, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Living Centers Inc. |
|---|---|
| Address | 111 E Illinois St, New Baden, Illinois |
| Phone Number | 6185884924 |
| Fax Number | 6185884673 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Brave A Michael |
| Credentials | MSW |
| Telephone Number | 6185882066 |
NPI Number Detail
| NPI Number | 1174518278 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2011-11-09 |
Provider Mailing Address Detail
| Address | 111 E Illinois St |
|---|---|
| City | New Baden |
| State | Illinois (IL) |
| Post Code | 622651850 |
| Phone Number | 6185884924 |
| Fax Number | 6185884673 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 33159 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33159 | IL | IDPH LICENSE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Southern Illinois Living Centers Inc. by the Centers for Medicare & Medicaid Services?
The Southern Illinois Living Centers Inc. has been issued the NPI (National Provider Identifier) 1174518278. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Southern Illinois Living Centers Inc. is physically located?
The Southern Illinois Living Centers Inc. is situated at the following address: 111 E Illinois St, New Baden, IL 622651850.
What is the Southern Illinois Living Centers Inc.'s area of specialization and corresponding taxonomy classification?
The Southern Illinois Living Centers Inc.'s specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.
When did the Southern Illinois Living Centers Inc. receive its 1174518278?
The Southern Illinois Living Centers Inc. was issued its 1174518278 on 2005-09-14, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Southern Illinois Living Centers Inc. most recently updated or revised?
The information pertaining to Southern Illinois Living Centers Inc., including its address, specialty, and other relevant details, was last updated or revised on 2011-11-09.