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Southern Illinois Living Centers Inc.
Intellectual Disabilities Intermediate Care Facility in New Baden, Illinois
NPI 1174518278

Southern Illinois Living Centers Inc. is a Intellectual Disabilities Intermediate Care Facility based in New Baden, IL. Southern Illinois Living Centers Inc. practices in New Baden, IL. The NPI Number for Southern Illinois Living Centers Inc. is 1174518278 and holds a License No. 0033159 (Illinois).

The current practice location address for Southern Illinois Living Centers Inc. is 111 E Illinois St, New Baden, IL and can be reached out via phone at 618-588-4924 and via fax at 618-588-4673.

Location: 111 E Illinois St, New Baden, IL, 62265-1850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174518278
Provider Name
Southern Illinois Living Centers Inc.
Credential
Provider Entity Type
Organization
Address
111 E Illinois St, New Baden, IL, 62265-1850
Phone Number
618-588-4924
Fax Number
618-588-4673
Provider Enumeration Date
09/14/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0033159 01 IL IDPH LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
111 E Illinois St
City
New Baden
State
Illinois
Zip
62265-1850
Phone Number
618-588-4924
Fax Number
618-588-4673
person
Provider Business Mailing Address Details
Address
111 E Illinois St
City
New Baden
State
Illinois
Zip
62265-1850
Phone Number
618-588-4924
Fax Number
618-588-4673
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
0033159 (Illinois)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
0033159 (Illinois)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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