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COMMUNITY LIVING OPTIONS INC NPI 1457523383


NPI Information

NPI: 1457523383
Provider Name: COMMUNITY LIVING OPTIONS INC

Doing Business As: CURTISS COURT

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
2883 TAYLOR AVE
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 585-1199
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COMMUNITY LIVING OPTIONS INC is an intermediate care facility mentally retarded in Springfield, IL. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. COMMUNITY LIVING OPTIONS INC NPI is 1457523383. The provider is registered as an organization entity type.
The provider Is Doing Business As Curtiss Court.

The provider's business location address is:

2883 TAYLOR AVE
SPRINGFIELD, IL
ZIP 62703-323
Phone: (217) 585-1199
Fax: (217) 585-9353

The provider's authorized official is Ronald J Wilson .
The authorized official title is Authorized Agent and has the following contact phone number (309) 343-1550.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally Retarded37531ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========052MEDICAIDILLINOIS

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: 11/14/2023

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