Central Illinois Developmental Therapy, Inc.
LBN: Central Illinois Developmental Therapy, Inc.
Central Illinois Developmental Therapy, Inc. is an health care organization with primary practice located at 762 8Th St , Charleston IL 61920-2116. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as the primary health care specialty.
Central Illinois Developmental Therapy, Inc. can be contacted via phone (217) 821-1752, or through Winchester, Vivian Faye via phone (217) 821-1752.
Contact Information
Primary practice address
762 8Th St
Charleston IL 61920-2116
Phone: (217) 821-1752
Fax: (217) 345-0910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1578778403 |
|---|---|
| LBN Legal business name | Central Illinois Developmental Therapy, Inc. |
| DBA Doing business as | |
| Authorized official | Winchester, Vivian Faye |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578778403 | NPPES |
| Illinois | MEDICAID | 336564313001 |
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