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FAYCO ENTERPRISES INC NPI 1811003551


NPI Information

NPI: 1811003551
Provider Name: FAYCO ENTERPRISES INC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 14D2237132

Address:
1313 SUNSET DRIVE
VANDALIA, IL
ZIP 62471
Phone: (618) 283-0638
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FAYCO ENTERPRISES INC is a day training developmentally disabled services in Vandalia, IL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. FAYCO ENTERPRISES INC NPI is 1811003551. The provider is registered as an organization entity type.

The provider's business location address is:

1313 SUNSET DRIVE
VANDALIA, IL
ZIP 62471
Phone: (618) 283-0638
Fax: (618) 283-3892

The provider's authorized official is C Roberto Lindberg .
The authorized official title is Executive Director and has the following contact phone number (618) 283-0638.

The CLIA number assigned to this NPI record is 14D2237132 - other - comm integrated living ar with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 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
1251C00000XDay Training, Developmentally Disabled ServicesYes
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesX
3343900000XNon-emergency Medical Transport (VAN)X

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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