NPI 1184091167 SOUTHERN ILLINOIS COMMUNITY SUPPORT SERVICES NEW BADEN IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Southern Illinois Community Support Services - NPI: 1184091167

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: SOUTHERN ILLINOIS COMMUNITY SUPPORT SERVICES
NPI Number: 1184091167
Entity Type Code: Organizational (2)
Authorized Official Name: MICHAEL BRAVE
(CFO)
Mailing Address: 300 E Illinois St
New Baden
State: IL US
Postal Code: 622651822
Phone Number: 6185887136
Fax Number: 6185884673
NPI Enumeration Date: 08/26/2015
NPI Last Update Date: 08/26/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 320900000X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Residential Treatment Facilities
Taxonomy Classification: Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities
Taxonomy Specialization:
Taxonomy Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.


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