HERITAGE BEHAVIORAL HEALTH CENTER NPI 1922277045

NPI Information

NPI: 1922277045
Provider Name: HERITAGE BEHAVIORAL HEALTH CENTER

Former Legal Business Name: DECATUR MENTAL CENTER

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
111 TIMARI CT
DECATUR, IL
ZIP 62521
Phone: (217) 362-6262
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HERITAGE BEHAVIORAL HEALTH CENTER is a community based residential treatment facility mental illness in Decatur, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. HERITAGE BEHAVIORAL HEALTH CENTER NPI is 1922277045. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Decatur Mental Center.

The provider's business location address is:

111 TIMARI CT
DECATUR, IL
ZIP 62521-367
Phone: (217) 362-6262

The provider's authorized official is Diana Knaebe .
The authorized official title is President/ceo and has the following contact phone number (217) 362-6262.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 1/4/2024.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness		T	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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