Illinois Department Of Human Services in Centralia - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Illinois Department Of Human Services - NPI 1437294568
Illinois Department Of Human Services is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Centralia, Illinois. Illinois Department Of Human Services practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Illinois Department Of Human Services is 1437294568. The last update date is 2008-06-20.
Illinois Department Of Human Services's current location address is 1535 W Mccord St, Centralia, Illinois. You can contact this provider via phone number 6185321811 and fax number 6185327464. The mailing address for Illinois Department Of Human Services is 1535 W Mccord St, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Department Of Human Services |
|---|---|
| Address | 1535 W Mccord St, Centralia, Illinois |
| Phone Number | 6185321811 |
| Fax Number | 6185327464 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CENTER DIR |
|---|---|
| Authorized Official Name | Veach James |
| Telephone Number | 6185321811 |
NPI Number Detail
| NPI Number | 1437294568 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 1535 W Mccord St |
|---|---|
| City | Centralia |
| State | Illinois (IL) |
| Post Code | 628015805 |
| Phone Number | 6185321811 |
| Fax Number | 6185327464 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 805-8000 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 583165001 | IL | -- | |
| 14-G053 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Illinois Department Of Human Services by the Centers for Medicare & Medicaid Services?
The Illinois Department Of Human Services has been assigned the NPI (National Provider Identifier) 1437294568 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Illinois Department Of Human Services's facilities are geographically located?
The facilities of Illinois Department Of Human Services are physically situated at the following location: 1535 W Mccord St, Centralia, IL, 628015805.
What is Illinois Department Of Human Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Illinois Department Of Human Services's specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
When did the Illinois Department Of Human Services receive its 1437294568?
The Illinois Department Of Human Services was issued its 1437294568 on 2007-02-20, which is the date when the organization was assigned this unique identifier.
When was the information related to Illinois Department Of Human Services most recently updated or refreshed?
The details pertaining to the Illinois Department Of Human Services, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-20.