Illinois Veterans Home At Quincy

LBN: Illinois Veterans Home At Quincy
Illinois Veterans Home At Quincy is an health care organization with primary practice located at 1707 N 12Th St , Quincy IL 62301-1355. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Suppliers / Durable Medical Equipment & Medical Supplies. Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities is the primary health care specialty. Illinois Veterans Home At Quincy can be contacted via phone (217) 222-8641, or through Vaca, Bruce L via phone (217) 222-8641.

Contact Information

Primary practice address
1707 N 12Th St Quincy IL 62301-1355
Phone: (217) 222-8641
Fax: (217) 222-8578
Website:
Map and Directions
Authorized official contact:
Name: Vaca, Bruce L LNHA
Phone: (217) 222-8641

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 0044107 Illinois
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X 44107 Illinois
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1386708568
LBN Legal business name Illinois Veterans Home At Quincy
DBA Doing business as
Authorized official Vaca, Bruce L LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 15th, 2010 - about 14 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 1386708568 NPPES
Other 00122001 BCBS

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