Reservoir Manor

LBN: Developmental Planning & Services Inc
Reservoir Manor is an health care organization with primary practice located at 419 E. Main Street , Shelbyville IL 62565-1600. 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. Developmental Planning & Services Inc can be contacted via phone (217) 774-9544, or through Headlee, Dennis K via phone (618) 244-7701.

Contact Information

Primary practice address
419 E. Main Street Shelbyville IL 62565-1600
Phone: (217) 774-9544
Fax: (217) 774-9545
Website:
Map and Directions
Authorized official contact:
Name: Headlee, Dennis K
Phone: (618) 244-7701

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 0051060 Illinois

Profile Details

NPI number 1568775138
LBN Legal business name Developmental Planning & Services Inc
DBA Doing business as Reservoir Manor
Authorized official Headlee, Dennis K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2010
Last updated Aug 17th, 2018 - about 6 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 1568775138 NPPES
Illinois Other 0051060 DEPARTMENT OF PUBLIC HEALTH
Illinois Other 14G082 DEPARTMENT OF PUBLIC HEALTH
Illinois Other 6007835 DEPARTMENT OF PUBLIC HEALTH

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