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COMMUNITY CARE SYSTEMS INC. NPI 1053584987


NPI Information

NPI: 1053584987
Provider Name: COMMUNITY CARE SYSTEMS, INC.
Classification: Homemaker - 376J00000X
Entity Type: Organization
Address:
11 WEST MADISON STREET
VILLA GROVE, IL
ZIP 61956
Phone: (217) 832-7042
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COMMUNITY CARE SYSTEMS, INC. is a homemaker in Villa Grove, IL. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. COMMUNITY CARE SYSTEMS, INC. NPI is 1053584987. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11 WEST MADISON STREET
VILLA GROVE, IL
ZIP 61956-514
Phone: (217) 832-7042
Fax: (217) 832-4056

The provider's authorized official is Frank J Vala .
The authorized official title is Chairman Of The Board and has the following contact phone number (217) 698-0200.

The enumeration date for this NPI number is 4/11/2008 and was last updated on 10/24/2016.


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
1376J00000XHomemakerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========914MEDICAIDILLINOIS

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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