COMMUNITY LIVING OPTIONS INC NPI 1225200678

NPI Information

NPI: 1225200678
Provider Name: COMMUNITY LIVING OPTIONS INC

Doing Business As: CARTHAGE TERRACE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1205 CENTER STREET
CARTHAGE, IL
ZIP 62321
Phone: (217) 357-2333
Get Directions

COMMUNITY LIVING OPTIONS INC is an intermediate care facility mentally retarded in Carthage, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. COMMUNITY LIVING OPTIONS INC NPI is 1225200678. The provider is registered as an organization entity type.
The provider Is Doing Business As Carthage Terrace.

The provider's business location address is:

1205 CENTER STREET
CARTHAGE, IL
ZIP 62321-103
Phone: (217) 357-2333
Fax: (217) 357-2013

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 3/26/2008 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		35543	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	=========044	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »