Active NPIOrganization

Brookstone Estates Of Harrisburg, LLC

Point of Service in Harrisburg, Illinois

NPI Number1184820755
Practice location
165 Ron Morse Dr, Harrisburg, IL 62946-5298
Fax
618-253-5871
Last updated
May 14, 2008

Brookstone Estates Of Harrisburg, LLC is a healthcare organization based in Harrisburg, IL. Brookstone Estates Of Harrisburg, LLC practices in Harrisburg, IL. The NPI Number for Brookstone Estates Of Harrisburg, LLC is 1184820755. The current practice location address for Brookstone Estates Of Harrisburg, LLC is 165 Ron Morse Dr, Harrisburg, IL 62946-5298 and can be reached out via phone at 618-253-5870 and via fax at 618-253-5871.

Provider Profile Details

NPI Number
1184820755
Provider Name
Brookstone Estates Of Harrisburg, LLC
Provider Entity Type
Organization
Address
165 Ron Morse Dr, Harrisburg, IL 62946-5298
Phone Number
618-253-5870
Fax Number
618-253-5871
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Mr. John Holtz · Controller · 541-747-3373
Provider Enumeration Date
June 21, 2007
Last Update Date
May 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
165 Ron Morse Dr
Harrisburg, IL 62946-5298
Zip
62946-5298
Phone Number
618-253-5870
Fax Number
618-253-5871
Harrisburg, IL 62946Get directions →

Provider Business Mailing Address Details

Address
78 Centennial Loop
Eugene, OR 97401-7900
City
Eugene
State
OR
Zip
97401-7900
Phone Number
541-747-3373
Fax Number
541-747-0673

License Information

Taxonomy
Point of Service · 305S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brookstone Estates Of Harrisburg, LLC?

The NPI number of Brookstone Estates Of Harrisburg, LLC is 1184820755. It was assigned on June 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Brookstone Estates Of Harrisburg, LLC?

Brookstone Estates Of Harrisburg, LLC is registered under the primary taxonomy Point of Service (code 305S00000X).

Where does Brookstone Estates Of Harrisburg, LLC practice?

The practice location is 165 Ron Morse Dr, Harrisburg, IL 62946-5298. The office can be reached at 618-253-5870 (phone) or 618-253-5871 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184820755 directly on the NPPES registry website.

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