RITA ARMBRUST NPI 1134311277

NPI Information

NPI: 1134311277
Provider Name: RITA ARMBRUST

Doing Business As: RANDOLPH HOUSE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
404 S 1ST ST
VANDALIA, IL
ZIP 62471
Phone: (618) 283-0689
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RITA ARMBRUST is an intermediate care facility mentally retarded in Vandalia, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RITA ARMBRUST NPI is 1134311277. The provider is registered as an organization entity type.
The provider Is Doing Business As Randolph House.

The provider's business location address is:

404 S 1ST ST
VANDALIA, IL
ZIP 62471-279
Phone: (618) 283-0689

The provider's authorized official is Rita M Armbrust .
The authorized official title is Owner and has the following contact phone number (618) 548-0309.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 10/8/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		0031633	ILLINOIS	Yes

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	=========001	MEDICAID	ILLINOIS
2	=========002	MEDICAID	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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