Grow In Illinois in Kankakee - Community Based Residential Treatment Facility, Mental Illness
Grow In Illinois - NPI 1942485230
Grow In Illinois is a Community Based Residential Treatment Facility, Mental Illness in Kankakee, Illinois. Grow In Illinois practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Grow In Illinois is 1942485230. The last update date is 2008-01-04.
Grow In Illinois's current location address is 1108 E Court St, Kankakee, Illinois. You can contact this provider via phone number 8159336690. The mailing address for Grow In Illinois is 1108 E Court St, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grow In Illinois |
|---|---|
| Address | 1108 E Court St, Kankakee, Illinois |
| Phone Number | 8159336690 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mussey Carol |
| Telephone Number | 2173526989 |
NPI Number Detail
| NPI Number | 1942485230 |
|---|---|
| Provider Enumeration Date | 2008-01-04 |
| Last Updated Date | 2008-01-04 |
Provider Mailing Address Detail
| Address | 1108 E Court St |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609014257 |
| Phone Number | 8159336690 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 5005 |
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Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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What is the unique identifier code issued to Grow In Illinois by the Centers for Medicare & Medicaid Services (CMS)?
The Grow In Illinois has been assigned the NPI (National Provider Identifier) 1942485230. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Grow In Illinois?
The Grow In Illinois is physically situated at 1108 E Court St, in the city of Kankakee, state of IL, with the postal code 609014257.
What is Grow In Illinois's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Grow In Illinois is Community Based Residential Treatment Facility, Mental Illness, and the taxonomy code that classifies this field of practice is 320800000X.
When did the Grow In Illinois receive its 1942485230?
The Grow In Illinois was issued its 1942485230 on 2008-01-04, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Grow In Illinois, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Grow In Illinois, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-04.