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APOSTOLIC CHRISTIAN HOME FOR THE HANDICAPPED INC. NPI 1194869040


NPI Information

NPI: 1194869040
Provider Name: APOSTOLIC CHRISTIAN HOME FOR THE HANDICAPPED, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 14D0692627

Address:
2125 VETERANS RD
MORTON, IL
ZIP 61550
Phone: (309) 266-9781
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APOSTOLIC CHRISTIAN HOME FOR THE HANDICAPPED, INC. is an intermediate care facility mentally retarded in Morton, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. APOSTOLIC CHRISTIAN HOME FOR THE HANDICAPPED, INC. NPI is 1194869040. The provider is registered as an organization entity type.

The provider's business location address is:

2125 VETERANS RD
MORTON, IL
ZIP 61550-566
Phone: (309) 266-9781
Fax: (309) 266-9468

The provider's authorized official is John Knobloch .
The authorized official title is President Of The Board Of Directors and has the following contact phone number (309) 266-9781.

The CLIA number assigned to this NPI record is 14D0692627 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 7/21/2022.


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
1315P00000XIntermediate Care Facility, Intellectual Disabilities0016220ILLINOISYes
2315P00000XIntermediate Care Facility, Intellectual Disabilities0033712ILLINOISX
3315P00000XIntermediate Care Facility, Intellectual Disabilities0039305ILLINOISX
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesILLINOISX

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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