Community Link, Inc. in Breese - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Community Link, Inc. - NPI 1518045442
Community Link, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Breese, Illinois. Community Link, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Community Link, Inc. is 1518045442. The last update date is 2015-12-01.
Community Link, Inc.'s current location address is 1665 N 4th St, Breese, Illinois. You can contact this provider via phone number 6185268800 and fax number 6185262021. The mailing address for Community Link, Inc. is 1665 N 4th St, Breese, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Community Link, Inc. |
---|---|
Address | 1665 N 4th St, Breese, Illinois |
Phone Number | 6185268800 |
Fax Number | 6185262021 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | Huelskamp A John |
Telephone Number | 6185263905 |
NPI Number Detail
NPI Number | 1518045442 |
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Provider Enumeration Date | 2006-11-01 |
Last Updated Date | 2015-12-01 |
Provider Mailing Address Detail
Address | 1665 N 4th St |
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City | Breese |
State | Illinois (IL) |
Post Code | 622301791 |
Phone Number | 6185268800 |
Fax Number | 6185262021 |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1430355 | IL | BCBSIL | |
212358361 | IL | BEECH STREET | |
507910 | IL | HEALTHLINK | |
2019317 | IL | FIRST HEALTH |
Post Comment/ Review Below
What is the unique identification code assigned to Community Link, Inc. by the Centers for Medicare & Medicaid Services?
The Community Link, Inc. has been issued the NPI (National Provider Identifier) 1518045442. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Community Link, Inc.?
The Community Link, Inc. is physically situated at 1665 N 4Th St, in the city of Breese, state of IL, with the postal code 622301791.
What is Community Link, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Community Link, Inc.'s specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
When did the Community Link, Inc. receive its 1518045442?
The Community Link, Inc. was issued its 1518045442 on 2006-11-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Community Link, Inc. most recently updated or revised?
The information pertaining to Community Link, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2015-12-01.
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