Illinois Department Of Human Services in Centralia - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Illinois Department Of Human Services - NPI 1538203419
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 1538203419. 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 | 1538203419 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 584062001 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Illinois Department Of Human Services by the Centers for Medicare & Medicaid Services?
The Illinois Department Of Human Services has been issued the NPI (National Provider Identifier) 1538203419. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Illinois Department Of Human Services's physical address?
The Illinois Department Of Human Services is physically located at 1535 W Mccord St, in the city of Centralia, IL, with the postal code 628015805.
What is the Illinois Department Of Human Services's area of specialization and corresponding taxonomy classification?
The Illinois Department Of Human Services's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
When was the Illinois Department Of Human Services's 1538203419 issued?
The Illinois Department Of Human Services's 1538203419 was issued on 2007-02-16.
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.
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