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SHAWNEE HOUSE INC. NPI 1629276373


NPI Information

NPI: 1629276373
Provider Name: SHAWNEE HOUSE, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
137 SOUTH DR
MOUNT CARMEL, IL
ZIP 62863
Phone: (618) 262-7205
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SHAWNEE HOUSE, INC. is an intermediate care facility mentally retarded in Mount Carmel, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SHAWNEE HOUSE, INC. NPI is 1629276373. The provider is registered as an organization entity type.

The provider's business location address is:

137 SOUTH DR
MOUNT CARMEL, IL
ZIP 62863-811
Phone: (618) 262-7205

The provider's authorized official is David M Roberts .
The authorized official title is Chief Executive Office and has the following contact phone number (618) 262-7552.

The enumeration date for this NPI number is 7/4/2007 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 Disabilities001ILLINOISYes

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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