Oak Terrace

LBN: Developmental Planning & Services Inc
Oak Terrace is an health care organization with primary practice located at 4219 Lincolnshire Dr , Mount Vernon IL 62864-2157. 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 (618) 242-2117, or through Headlee, Dennis K via phone (618) 244-7701.

Contact Information

Primary practice address
4219 Lincolnshire Dr Mount Vernon IL 62864-2157
Fax: (618) 242-9770
Website:
Authorized official contact:
Name: Headlee, Dennis K

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 0030866 Illinois

Profile Details

NPI number 1669524401
LBN Legal business name Developmental Planning & Services Inc
DBA Doing business as Oak Terrace
Authorized official Headlee, Dennis K
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Nov 17th, 2008 - about 16 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 1669524401 NPPES
Illinois Other 14G108 PROVIDER IDENTIFICATION #
Illinois Other 0030866 PROVIDER IDENTIFICATION #
Illinois Other 6006803 PROVIDER IDENTIFICATION #

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