Brother James Court in Springfield - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Brother James Court - NPI 1386778462

Brother James Court is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Springfield, Illinois. Brother James Court practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Brother James Court is 1386778462. The last update date is 2020-08-22.

Brother James Court's current location address is 2508 Saint James Rd, Springfield, Illinois. You can contact this provider via phone number 2175444876 and fax number 2177475914. The mailing address for Brother James Court is 2508 Saint James Rd, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brother James Court
Address 2508 Saint James Rd, Springfield, Illinois
Phone Number 2175444876
Fax Number 2177475914
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTAT
Authorized Official Name Wampler Ron
Telephone Number 2177475900

NPI Number Detail

NPI Number 1386778462
Provider Enumeration Date 2007-03-14
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2508 Saint James Rd
City Springfield
State Illinois (IL)
Post Code 627079736
Phone Number 2175444876
Fax Number 2177475914

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Licence No 20495
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
14G039 IL --

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FAQs about Brother James Court

What is the unique 10-digit identifier code issued to Brother James Court by the Centers for Medicare & Medicaid Services?

The Brother James Court has been assigned the NPI (National Provider Identifier) 1386778462 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Brother James Court is geographically located?

The Brother James Court is physically situated at the following location: 2508 Saint James Rd, Springfield, IL, 627079736.

What is the area of specialization for Brother James Court, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Brother James Court is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.

On what date did Brother James Court receive its 1386778462 assignment from the Centers for Medicare & Medicaid Services?

The Brother James Court was assigned its 1386778462 on 2007-03-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Brother James Court's information last updated?

The Brother James Court's information was last updated on 2020-08-22.

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