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Community Link, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Breese, Illinois
NPI 1518045442

Community Link, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Breese, IL. Community Link, Inc. practices in Breese, IL. The NPI Number for Community Link, Inc. is 1518045442 and holds a License No. (Illinois).

The current practice location address for Community Link, Inc. is 1665 N 4Th St, Breese, IL and can be reached out via phone at 618-526-8800 and via fax at 618-526-2021.

Location: 1665 N 4Th St, Breese, IL, 62230-1791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518045442
Provider Name
Community Link, Inc.
Credential
Provider Entity Type
Organization
Address
1665 N 4Th St, Breese, IL, 62230-1791
Phone Number
618-526-8800
Fax Number
618-526-2021
Provider Enumeration Date
11/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01430355 01 IL BCBSIL
212358361 01 IL BEECH STREET
507910 01 IL HEALTHLINK
2019317 01 IL FIRST HEALTH
institution
Provider Business Practice Location Address Details
Address
1665 N 4Th St
City
Breese
State
Illinois
Zip
62230-1791
Phone Number
618-526-8800
Fax Number
618-526-2021
person
Provider Business Mailing Address Details
Address
1665 N 4Th St
City
Breese
State
Illinois
Zip
62230-1791
Phone Number
618-526-8800
Fax Number
618-526-2021
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
(Illinois)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Illinois)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Illinois)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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