Choate Mental Health & Developmental Center

LBN: Illinois Department Of Human Services
Choate Mental Health & Developmental Center is an health care organization with primary practice located at 1000 N Main St , Anna IL 62906-1652. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded is the primary health care specialty. Illinois Department Of Human Services can be contacted via phone (618) 833-5161, or through Muhlstadt, Debra via phone (815) 288-8335.

Contact Information

Primary practice address
1000 N Main St Anna IL 62906-1652
Phone: (618) 833-5161
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Muhlstadt, Debra
Phone: (815) 288-8335

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1154453991
LBN Legal business name Illinois Department Of Human Services
DBA Doing business as Choate Mental Health & Developmental Center
Authorized official Muhlstadt, Debra
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Dec 22nd, 2016 - about 8 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 1154453991 NPPES
Illinois MEDICAID 14G045

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