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PIATT COUNTY M H CENTER NPI 1619326121


NPI Information

NPI: 1619326121
Provider Name: PIATT COUNTY M H CENTER
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 14D2247835

Address:
1921 N MARKET ST
MONTICELLO, IL
ZIP 61856
Phone: (217) 762-8546
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PIATT COUNTY M H CENTER is a day training developmentally disabled services in Monticello, IL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PIATT COUNTY M H CENTER NPI is 1619326121. The provider is registered as an organization entity type.

The provider's business location address is:

1921 N MARKET ST
MONTICELLO, IL
ZIP 61856-144
Phone: (217) 762-8546
Fax: (217) 762-4066

The provider's authorized official is Cathy Darlene Baker .
The authorized official title is Cfo and has the following contact phone number (217) 762-5371.

The CLIA number assigned to this NPI record is 14D2247835 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2016 and was last updated on 6/6/2016.


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
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthNo
3253Z00000XIn Home Supportive CareNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
5251C00000XDay Training, Developmentally Disabled ServicesYes

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.