MAPLE HOUSE SHELTER CARE HOME INC. NPI 1588784136

NPI Information

NPI: 1588784136
Provider Name: MAPLE HOUSE SHELTER CARE HOME, INC.
Classification: Lodging - 177F00000X
Entity Type: Organization
Address:
205 E 3RD ST
JOHNSTON CITY, IL
ZIP 62951
Phone: (618) 983-5731
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MAPLE HOUSE SHELTER CARE HOME, INC. is a lodging in Johnston City, IL. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. MAPLE HOUSE SHELTER CARE HOME, INC. NPI is 1588784136. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

205 E 3RD ST
JOHNSTON CITY, IL
ZIP 62951-624
Phone: (618) 983-5731
Fax: (618) 983-7101

The provider's authorized official is Rhonda L. Jones .
The authorized official title is President and has the following contact phone number (618) 983-5731.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/22/2020.

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	177F00000X	Lodging		0038380	ILLINOIS	Yes

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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