Childrens' Home Association Of Illinois in Peoria - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Childrens' Home Association Of Illinois - NPI 1093961484
Childrens' Home Association Of Illinois is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Peoria, Illinois. Childrens' Home Association Of Illinois practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Childrens' Home Association Of Illinois is 1093961484. The last update date is 2008-08-18.
Childrens' Home Association Of Illinois's current location address is 2130 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096877255. The mailing address for Childrens' Home Association Of Illinois is 2130 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Childrens' Home Association Of Illinois |
|---|---|
| Address | 2130 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096877255 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Phelan M. Patrick |
| Credentials | MS |
| Telephone Number | 3096877255 |
NPI Number Detail
| NPI Number | 1093961484 |
|---|---|
| Provider Enumeration Date | 2008-08-18 |
| Last Updated Date | 2008-08-18 |
Provider Mailing Address Detail
| Address | 2130 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616032460 |
| Phone Number | 3096877255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identifier code assigned to Childrens' Home Association Of Illinois by the Centers for Medicare & Medicaid Services?
The Childrens' Home Association Of Illinois has been issued the NPI (National Provider Identifier) 1093961484 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Childrens' Home Association Of Illinois located?
The Childrens' Home Association Of Illinois is located at 2130 N Knoxville Ave, Peoria, IL 616032460.
What is the Childrens' Home Association Of Illinois's area of specialization and corresponding taxonomy classification?
The Childrens' Home Association Of Illinois's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.
On what date did the Childrens' Home Association Of Illinois receive the assignment of its 1093961484 from the Centers for Medicare & Medicaid Services?
The Childrens' Home Association Of Illinois was issued its 1093961484 by the Centers for Medicare & Medicaid Services on 2008-08-18.
When was the information regarding Childrens' Home Association Of Illinois most recently updated?
The details pertaining to the Childrens' Home Association Of Illinois, including its address, specialty, and other relevant information, were last refreshed on 2008-08-18.
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