Sullivan House Residential Care, Inc. in Ottawa - Intermediate Care Facility, Intellectual Disabilities
Sullivan House Residential Care, Inc. - NPI 1487832903
Sullivan House Residential Care, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Ottawa, Illinois. Sullivan House Residential Care, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Sullivan House Residential Care, Inc. is 1487832903. The last update date is 2008-02-06.
Sullivan House Residential Care, Inc.'s current location address is 600 Grover Ave, Ottawa, Illinois. You can contact this provider via phone number 8154335858 and fax number 8156733231. The mailing address for Sullivan House Residential Care, Inc. is 600 Grover Ave, Ottawa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sullivan House Residential Care, Inc. |
|---|---|
| Address | 600 Grover Ave, Ottawa, Illinois |
| Phone Number | 8154335858 |
| Fax Number | 8156733231 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gomes S Ralph |
| Telephone Number | 8154335858 |
NPI Number Detail
| NPI Number | 1487832903 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | 600 Grover Ave |
|---|---|
| City | Ottawa |
| State | Illinois (IL) |
| Post Code | 613504140 |
| Phone Number | 8154335858 |
| Fax Number | 8156733231 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 34140 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sullivan House Residential Care, Inc. by the Centers for Medicare & Medicaid Services?
The Sullivan House Residential Care, Inc. has been issued the NPI (National Provider Identifier) 1487832903 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Sullivan House Residential Care, Inc.'s facilities are geographically located?
The facilities of Sullivan House Residential Care, Inc. are physically situated at the following location: 600 Grover Ave, Ottawa, IL, 613504140.
What is the Sullivan House Residential Care, Inc.'s area of specialization and corresponding taxonomy classification?
The Sullivan House Residential Care, 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 Sullivan House Residential Care, Inc. receive its 1487832903 assignment?
The Sullivan House Residential Care, Inc. was assigned its 1487832903 on 2008-02-06, which is the date when this unique identifier was issued to the organization.
When was the information regarding Sullivan House Residential Care, Inc. most recently updated?
The details pertaining to the Sullivan House Residential Care, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-02-06.