Cardinal House Inc in Anna - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Cardinal House Inc - NPI 1427236900
Cardinal House Inc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Anna, Illinois. Cardinal House Inc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Cardinal House Inc is 1427236900. The last update date is 2008-02-06.
Cardinal House Inc's current location address is Po Box 622, Anna, Illinois. You can contact this provider via phone number 6188337756 and fax number 6188337806. The mailing address for Cardinal House Inc is Po Box 622, Anna, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cardinal House Inc |
|---|---|
| Address | Po Box 622, Anna, Illinois |
| Phone Number | 6188337756 |
| Fax Number | 6188337806 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EX DIR SE |
|---|---|
| Authorized Official Name | Blakely Michael Gregory |
| Credentials | PT QMRP |
| Telephone Number | 6188337756 |
NPI Number Detail
| NPI Number | 1427236900 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | Po Box 622 |
|---|---|
| City | Anna |
| State | Illinois (IL) |
| Post Code | 629060622 |
| Phone Number | 6188337756 |
| Fax Number | 6188337806 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 965010 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the unique identification code assigned to Cardinal House Inc by the Centers for Medicare & Medicaid Services?
The Cardinal House Inc has been issued the NPI (National Provider Identifier) 1427236900. 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 Cardinal House Inc's physical address?
The Cardinal House Inc is physically located at Po Box 622, in the city of Anna, IL, with the postal code 629060622.
What is Cardinal House Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Cardinal House Inc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1427236900 to Cardinal House Inc?
The Centers for Medicare & Medicaid Services originally issued the 1427236900 to Cardinal House Inc on 2008-02-06.
When was the information regarding Cardinal House Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Cardinal House Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-06.
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