Adult & Child Rehabilitation Center For Mchenry County Illinois

LBN: Independence Health & Therapy
Adult & Child Rehabilitation Center For Mchenry County Illinois is an health care organization with primary practice located at 708 Washington St. , Woodstock IL 60098. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Rehabilitation. Agencies / Public Health or Welfare is the primary health care specialty. Independence Health & Therapy can be contacted via phone (815) 338-1707, or through Larson, Kimberly via phone (815) 333-8657.

Contact Information

Primary practice address
708 Washington St. Woodstock IL 60098
Phone: (815) 338-1707
Fax: (815) 338-1786
Website:
Map and Directions
Authorized official contact:
Name: Larson, Kimberly Registered Nurse (RN)
Phone: (815) 333-8657

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Agencies / Public Health or Welfare 251K00000X 1747736 Illinois
Agencies / Public Health or Welfare 251K00000X
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 1747736 Illinois

Profile Details

NPI number 1184744625
LBN Legal business name Independence Health & Therapy
DBA Doing business as Adult & Child Rehabilitation Center For Mchenry County Illinois
Authorized official Larson, Kimberly Registered Nurse (RN)
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 29th, 2007
Last updated Nov 19th, 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 1184744625 NPPES
Illinois MEDICAID 362264411001
Illinois Other 05615103

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