NPI 1487045761 AVANCER HOMES, LLC GENOA IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Avancer Homes, Llc - NPI: 1487045761

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: AVANCER HOMES, LLC
NPI Number: 1487045761
Entity Type Code: Organizational (2)
Authorized Official Name: DESIREE A JOHNSON
(EXECUTIVE DIRECTOR)
Mailing Address: 350 Sycamore Rd
Genoa
State: IL US
Postal Code: 601351361
Phone Number: 8157845146
Fax Number: 8157844673
NPI Enumeration Date: 02/09/2015
NPI Last Update Date: 02/09/2015
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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