Homestead House in Carterville - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Homestead House - NPI 1881884187
Homestead House is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Carterville, Illinois. Homestead House practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Homestead House is 1881884187. The last update date is 2008-04-20.
Homestead House's current location address is 1120 North Division Street, Carterville, Illinois. You can contact this provider via phone number 6189858351 and fax number 6189858817. The mailing address for Homestead House is 1120 North Division Street, Carterville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Homestead House |
|---|---|
| Address | 1120 North Division Street, Carterville, Illinois |
| Phone Number | 6189858351 |
| Fax Number | 6189858817 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER AD |
|---|---|
| Authorized Official Name | Mattingly James William |
| Telephone Number | 6189858351 |
NPI Number Detail
| NPI Number | 1881884187 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 1120 North Division Street |
|---|---|
| City | Carterville |
| State | Illinois (IL) |
| Post Code | 62918 |
| Phone Number | 6189858351 |
| Fax Number | 6189858817 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
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 10-digit identifier code assigned to Homestead House by the Centers for Medicare & Medicaid Services?
The Homestead House has been issued the NPI (National Provider Identifier) 1881884187 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Homestead House's facilities are situated?
The facilities of Homestead House are physically located at the following address: 1120 North Division Street, Carterville, IL, 62918.
What is Homestead House's area of expertise and its corresponding taxonomy classification?
The Homestead House's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1881884187 to Homestead House?
The Homestead House received its 1881884187 assignment from the Centers for Medicare & Medicaid Services on 2007-08-01.
As of what date were the details related to Homestead House most recently updated or revised?
The information pertaining to Homestead House, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.