Kemmerer Village Inc.

LBN: Kemmerer Village Inc.
Kemmerer Village Inc. is an health care organization with primary practice located at 941 N. 2500 East. Rd. , Assumption IL 62510. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Kemmerer Village Inc. can be contacted via phone (217) 226-4451, or through Little, Ronald via phone (217) 226-2116.

Contact Information

Primary practice address
941 N. 2500 East. Rd. Assumption IL 62510
Phone: (217) 226-4451
Fax: (217) 226-3511
Website:
Map and Directions
Authorized official contact:
Name: Little, Ronald
Phone: (217) 226-2116

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 0011289-10 Illinois

Profile Details

NPI number 1811965239
LBN Legal business name Kemmerer Village Inc.
DBA Doing business as
Authorized official Little, Ronald
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 20th, 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 1811965239 NPPES
Illinois Other 00112895116 DCFS CONTRACT NUMBER
Illinois Other 0112895113 DCFS CONTRACT NUMBER
Illinois MEDICAID 3B00IPI041 DCFS CONTRACT NUMBER
Illinois MEDICAID 3B00-IPI-041 DCFS CONTRACT NUMBER

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