Southside Manor

LBN: Alpha Omega Consulting, Inc.
Southside Manor is an health care organization with primary practice located at 729 S Webster St , Decatur IL 62521-2672. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Alpha Omega Consulting, Inc. can be contacted via phone (217) 422-5478, or through Cornell, Angela via phone (217) 422-4725.

Contact Information

Primary practice address
729 S Webster St Decatur IL 62521-2672
Phone: (217) 422-5478
Fax: (217) 422-2143
Website:
Map and Directions
Authorized official contact:
Name: Cornell, Angela
Phone: (217) 422-4725

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 0046961 Illinois

Profile Details

NPI number 1487788311
LBN Legal business name Alpha Omega Consulting, Inc.
DBA Doing business as Southside Manor
Authorized official Cornell, Angela
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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