Provider Type Icon

COLONIAL MANOR INC NPI 1619291820


NPI Information

NPI: 1619291820
Provider Name: COLONIAL MANOR, INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
300 CHURCH ST
ZEIGLER, IL
ZIP 62999
Phone: (618) 596-6635
Get Directions

COLONIAL MANOR, INC is a residential treatment facility, intellectual and/or developmental disabilities in Zeigler, IL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. COLONIAL MANOR, INC NPI is 1619291820. The provider is registered as an organization entity type.

The provider's business location address is:

300 CHURCH ST
ZEIGLER, IL
ZIP 62999-043
Phone: (618) 596-6635
Fax: (618) 984-7734

The provider's authorized official is Melissa K Moore .
The authorized official title is President and has the following contact phone number (618) 596-6635.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 3/16/2010.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities0044610ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.