PIONEER CONCEPTS INC NPI 1215100896

NPI Information

NPI: 1215100896
Provider Name: PIONEER CONCEPTS INC

Doing Business As: CALUMET CITY TERRACE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1380 RIVER DRIVE
CALUMET CITY, IL
ZIP 60409
Phone: (708) 730-3312
Get Directions

PIONEER CONCEPTS INC is an intermediate care facility mentally retarded in Calumet City, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PIONEER CONCEPTS INC NPI is 1215100896. The provider is registered as an organization entity type.
The provider Is Doing Business As Calumet City Terrace.

The provider's business location address is:

1380 RIVER DRIVE
CALUMET CITY, IL
ZIP 60409-619
Phone: (708) 730-3312
Fax: (708) 730-1584

The provider's authorized official is Ronald J Wilson .
The authorized official title is Authorized Agent and has the following contact phone number (309) 343-1550.

The enumeration date for this NPI number is 4/4/2008 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		43190	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========002	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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