HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS NPI 1578729810

NPI Information

NPI: 1578729810
Provider Name: HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Doing Business As: PIASA MANOR
Address: 110 N ALBY COURT
GODFREY, IL
ZIP 62035
Phone: (618) 466-9243

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NPI Details

HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS is an intermediate care facility mentally retarded in Godfrey, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS NPI is 1578729810. The provider is registered as an organization entity type.
The provider Is Doing Business As Piasa Manor.

The provider's business location address is:

110 N ALBY COURT
GODFREY, IL
ZIP 62035
Phone: (618) 466-9243
Fax: (618) 466-9517

The provider's authorized official is Catherine A Brookshire .
The authorized official title is Administrator and has the following contact phone number (217) 529-9632.

The enumeration date for this NPI number is 8/6/2008 and was last updated on 8/6/2008.

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		0038422	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	=========004	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: 11/21/2025

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