PIASA MANOR
NPI 1578729810
Intermediate Care Facility, Intellectual Disabilities in Godfrey, IL

NPI Status: Active since August 06, 2008

Contact Information

110 N ALBY COURT
GODFREY, IL
ZIP 62035
Phone: (618) 466-9243
Fax: (618) 466-9517

Get Directions Reviews

  • Organization
  • Intermediate Care Facility, Intellectual...

About PIASA MANOR

This page provides the complete NPI Profile along with additional information for Piasa Manor, a provider established in Godfrey, Illinois operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1578729810 assigned on August 2008. The practitioner's primary taxonomy code is 315P00000X with license number 0038422 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Piasa Manor. The authorized official of this NPI record is Ms. Catherine A Brookshire (Administrator)

NPI
1578729810
Provider Legal Name
HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS
Other Organization Name
PIASA MANOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
110 N ALBY COURT GODFREY, IL 62035
Location Phone
(618) 466-9243
Location Fax
(618) 466-9517
Mailing Address
40 ADLOFF LN SPRINGFIELD, IL 62703
Mailing Phone
(217) 529-9632
Mailing Fax
(618) 466-9517
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2008
Last Update Date
08-06-2008
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
0038422
License State
IL
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CATHERINE A BROOKSHIRE

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(217) 529-9632

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========004MEDICAID (05)IL 

Reviews for PIASA MANOR

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578729810
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481421882
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 4 + 2 + 1 + 8 + 8 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1578729810 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578729810, enumerated in the NPI registry as an "organization" on August 06, 2008

The provider is located at 110 N Alby Court Godfrey, Il 62035 and the phone number is (618) 466-9243

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 06, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.