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DEPARTMENT OF HUMAN SERVICES NPI 1659441285


NPI Information

NPI: 1659441285
Provider Name: DEPARTMENT OF HUMAN SERVICES

Other Name: JACKSONVILLE DEVELOPMENTAL CENTER

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1201 S MAIN ST
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 479-2120
Get Directions

DEPARTMENT OF HUMAN SERVICES is a residential treatment facility, intellectual and/or developmental disabilities in Jacksonville, 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. DEPARTMENT OF HUMAN SERVICES NPI is 1659441285. The provider is registered as an organization entity type.
The provider Other Name Is Jacksonville Developmental Center.

The provider's business location address is:

1201 S MAIN ST
JACKSONVILLE, IL
ZIP 62650-339
Phone: (217) 479-2120
Fax: (217) 245-1165

The provider's authorized official is Michael Hurt .
The authorized official title is Center Director and has the following contact phone number (217) 479-2110.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 8/22/2020.


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 DisabilitiesYes

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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