Illinois Mentor

LBN: Illinois Mentor
Illinois Mentor is an health care organization with primary practice located at 615 N Longwood St , Rockford IL 61107-4265. The organization recently has only one registered license in Agencies / Foster Care Agency, which is considered as the primary health care specialty. Illinois Mentor can be contacted via phone (181) 528-2615, or through Spencer, Sara via phone 17086799137.

Contact Information

Primary practice address
615 N Longwood St Rockford IL 61107-4265
Phone: (181) 528-2615
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Spencer, Sara
Phone: 17086799137

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1124457825
LBN Legal business name Illinois Mentor
DBA Doing business as
Authorized official Spencer, Sara
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2013
Last updated Nov 4th, 2013 - about 11 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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