Children'S Home Association Of Illinois

LBN: Children'S Home Association Of Illinois
Children'S Home Association Of Illinois is an health care organization with primary practice located at 404 Ne Madison Ave , Peoria IL 61603-3720. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Children'S Home Association Of Illinois can be contacted via phone (309) 685-1047, or through George, Matt via phone (390) 685-1047.

Contact Information

Primary practice address
404 Ne Madison Ave Peoria IL 61603-3720
Phone: (309) 685-1047
Fax: (309) 687-7299
Website:
Map and Directions
Authorized official contact:
Name: George, Matt
Phone: (390) 685-1047

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X Illinois

Profile Details

NPI number 1932633427
LBN Legal business name Children'S Home Association Of Illinois
DBA Doing business as
Authorized official George, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2017
Last updated Apr 16th, 2018 - 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 1932633427 NPPES
Illinois MEDICAID 2B05-IPI-130
Illinois MEDICAID A-6162-0002-A

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