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HEALTH CARE MANAGEMENT CORP NPI 1730371188


NPI Information

NPI: 1730371188
Provider Name: HEALTH CARE MANAGEMENT CORP
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
403 N STATE RD
FLORA, IL
ZIP 62839
Phone: (618) 662-6440
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HEALTH CARE MANAGEMENT CORP is an intermediate care facility mentally retarded in Flora, IL. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. HEALTH CARE MANAGEMENT CORP NPI is 1730371188. The provider is registered as an organization entity type.

The provider's business location address is:

403 N STATE RD
FLORA, IL
ZIP 62839-519
Phone: (618) 662-6440
Fax: (618) 662-4159

The provider's authorized official is Rita M Armbrust .
The authorized official title is Accountant and has the following contact phone number (618) 548-0309.

The enumeration date for this NPI number is 8/9/2007 and was last updated on 9/17/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities201200006MILLINOISNo
2315P00000XIntermediate Care Facility, Mentally Retarded0031831ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201200006MOTHERILLINOISDEPARTMENT OF HUMAN SERVICES, PROVISIONAL LICENSE
2=========6256501MEDICAIDILLINOIS

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: 11/14/2023

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