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CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS NPI 1427426055


NPI Information

NPI: 1427426055
Provider Name: CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
138 LINCOLN PLACE CT
SUITE 101
BELLEVILLE, IL
ZIP 62221
Phone: (618) 233-0210
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CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS is a community based residential treatment facility, intellectual and/or developmental disabilities in Belleville, IL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. CEREBRAL PALSY OF SOUTHWESTERN ILLINOIS NPI is 1427426055. The provider is registered as an organization entity type.

The provider's business location address is:

138 LINCOLN PLACE CT
SUITE 101
BELLEVILLE, IL
ZIP 62221-884
Phone: (618) 233-0210

The provider's authorized official is Jeanette Haege .
The authorized official title is Executive Director and has the following contact phone number (618) 233-0210.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 10/6/2015.


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
1251B00000XCase ManagementNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities199100130SILLINOISYes

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

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