Illinois Department Of Human Services in Centralia - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Illinois Department Of Human Services - NPI 1639214760
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 1639214760. 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 | 1639214760 |
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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 |
---|---|---|---|
584061001 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit 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) 1639214760, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Illinois Department Of Human Services?
The Illinois Department Of Human Services is situated at 1535 W Mccord St, in the city of Centralia, state of IL, with the zip code 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.
On what date did the Centers for Medicare & Medicaid Services issue the 1639214760 to Illinois Department Of Human Services?
The Illinois Department Of Human Services received its 1639214760 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.
As of what date was the information pertaining to Illinois Department Of Human Services, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Illinois Department Of Human Services, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-20.
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