Crawford County Convalescent Center

LBN: D Miller Innovative Care Inc
Crawford County Convalescent Center is an health care organization with primary practice located at 902 W Mefford Street , Robinson IL 62454. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. D Miller Innovative Care Inc can be contacted via phone (618) 546-5638, or through Miller, Dwight L via phone (618) 546-5638.

Contact Information

Primary practice address
902 W Mefford Street Robinson IL 62454
Phone: (618) 546-5638
Fax: (618) 544-7068
Website:
Map and Directions
Authorized official contact:
Name: Miller, Dwight L
Phone: (618) 546-5638

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0029645 Illinois

Profile Details

NPI number 1235228016
LBN Legal business name D Miller Innovative Care Inc
DBA Doing business as Crawford County Convalescent Center
Authorized official Miller, Dwight L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1235228016 NPPES
Illinois MEDICAID 0662232

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