Illinois Veterans Home At Lasalle in La Salle - Residential Treatment Facility, Physical Disabilities
Illinois Veterans Home At Lasalle - NPI 1942367453
Illinois Veterans Home At Lasalle is a Residential Treatment Facility, Physical Disabilities in La Salle, Illinois. Illinois Veterans Home At Lasalle practices all healthcare services and medical treatments related to Residential Treatment Facility, Physical Disabilities. The NPI Number for Illinois Veterans Home At Lasalle is 1942367453. The last update date is 2013-05-24.
Illinois Veterans Home At Lasalle's current location address is 1015 Oconor Ave, La Salle, Illinois. You can contact this provider via phone number 8152230303 and fax number 8152235815. The mailing address for Illinois Veterans Home At Lasalle is 1015 Oconor Ave, La Salle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Veterans Home At Lasalle |
|---|---|
| Address | 1015 Oconor Ave, La Salle, Illinois |
| Phone Number | 8152230303 |
| Fax Number | 8152235815 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Koehler G. John |
| Credentials | LNHA |
| Telephone Number | 8152230303 |
NPI Number Detail
| NPI Number | 1942367453 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2013-05-24 |
Provider Mailing Address Detail
| Address | 1015 Oconor Ave |
|---|---|
| City | La Salle |
| State | Illinois (IL) |
| Post Code | 613011216 |
| Phone Number | 8152230303 |
| Fax Number | 8152235815 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Physical Disabilities |
|---|---|
| Taxonomy | 320700000X |
| Licence No | 44115 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5032039 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Illinois Veterans Home At Lasalle by the Centers for Medicare & Medicaid Services?
The Illinois Veterans Home At Lasalle has been issued the NPI (National Provider Identifier) 1942367453, 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 Veterans Home At Lasalle?
The Illinois Veterans Home At Lasalle is situated at 1015 Oconor Ave, in the city of La Salle, state of IL, with the zip code 613011216.
What is Illinois Veterans Home At Lasalle's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Illinois Veterans Home At Lasalle is Residential Treatment Facility, Physical Disabilities, and the taxonomy code that categorizes this field of expertise is 320700000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1942367453 to Illinois Veterans Home At Lasalle?
The Centers for Medicare & Medicaid Services assigned the 1942367453 to Illinois Veterans Home At Lasalle on 2007-01-03.
As of what date were the details related to Illinois Veterans Home At Lasalle most recently updated or revised?
The information pertaining to Illinois Veterans Home At Lasalle, including its address, specialty, and other relevant details, was last updated or revised on 2013-05-24.
NPI Number: 1891797999
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