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. The NPI number for Brookstone Estates Of Harrisburg, LLC is 1184820755. The current practice location address is 165 Ron Morse Dr, Harrisburg, IL 62946-5298 and the office can be reached by phone at 618-253-5870 and by fax at 618-253-5871. The NPI was assigned on June 21, 2007 and the record was last updated in NPPES on May 14, 2008.

●Provider Profile Details

NPI Number
1184820755
Provider Name
Brookstone Estates Of Harrisburg, LLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Point of Service · 305S00000X
Organization Subpart
No
Authorized Official
Mr. John Holtz · Controller · 541-747-3373
Enumeration Date
June 21, 2007
Last Update Date
May 14, 2008
NPI Status
Active

◉Business Practice Location Address

Address
165 Ron Morse Dr
Harrisburg, IL 62946-5298
ZIP
62946-5298
Country
US
Phone Number
618-253-5870
Fax Number
618-253-5871

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✉Business Mailing Address

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

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Point of Service305S00000XYes——

#Other Provider Identifiers

No legacy or other 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 at npiregistry.cms.hhs.gov.

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