St. John'S Home & Community Care

LBN: St. John'S Healing Community Board
St. John'S Home & Community Care is an health care organization with primary practice located at 222 Goethe Ave , Collinsville IL 62234-3306. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Nursing Service Related Providers / Homemaker. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. St. John'S Healing Community Board can be contacted via phone (618) 344-5008, or through Berry, Nancy J. via phone (618) 344-5008.

Contact Information

Primary practice address
222 Goethe Ave Collinsville IL 62234-3306
Phone: (618) 344-5008
Fax: (618) 344-4969
Website:
Map and Directions
Authorized official contact:
Name: Berry, Nancy J. MHA
Phone: (618) 344-5008

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1871712430
LBN Legal business name St. John'S Healing Community Board
DBA Doing business as St. John'S Home & Community Care
Authorized official Berry, Nancy J. MHA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1871712430 NPPES
Illinois Other AD001-2002-2007 DEPT. OF REHABILITATION
Illinois Other 96HM00649501 DEPT. OF REHABILITATION

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