Apostolic Christian Home Of Roanoke Illinois Inc.

LBN: Apostolic Christian Home Of Roanoke Illinois Inc.
Apostolic Christian Home Of Roanoke Illinois Inc. is an health care organization with primary practice located at 1102 W Randolph St , Roanoke IL 61561-7528. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Apostolic Christian Home Of Roanoke Illinois Inc. can be contacted via phone (309) 923-2071, or through Isaia, Richard D via phone (309) 923-2071.

Contact Information

Primary practice address
1102 W Randolph St Roanoke IL 61561-7528
Phone: (309) 923-2071
Fax: (309) 923-7919
Website:
Map and Directions
Authorized official contact:
Name: Isaia, Richard D
Phone: (309) 923-2071

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0021493 Illinois

Profile Details

NPI number 1770030074
LBN Legal business name Apostolic Christian Home Of Roanoke Illinois Inc.
DBA Doing business as
Authorized official Isaia, Richard D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2016
Last updated Jan 24th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770030074 NPPES
Illinois MEDICAID 0021493

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