BEVERLY FARM FOUNDATION (NPI# 1255885414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255885414 |
| Entity Type | Organization |
| Organization Name | BEVERLY FARM FOUNDATION |
| Other Organization Name | DAY TRAINING |
| Practice Address |
6301 Humbert Rd Godfrey IL 62035-2163 |
| Practice Telephone | 6184660367 |
| Practice Fax Number | 6184663652 |
| Mailing Telephone | 6184660367 |
| Mailing Fax Number | 6184663652 |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | BRENDA E. MILLER (FINANCE DIRECTOR) |
| Authorized Official Telephone | 6184660367 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Other Name | Type Code |
|---|---|
| Day Training | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376618082 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 212 Bachman Ln, Godfrey, IL 62035-2122 | 2006-11-21 |
| 1093880700 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 224 Bachman Ln, Godfrey, IL 62035-2122 | 2006-11-21 |
| 1568537272 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 314 Bachman Ln, Godfrey, IL 62035-2123 | 2006-11-21 |
| 1902971617 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 320 Bachman Ln, Godfrey, IL 62035-2123 | 2006-11-21 |
| 1710051545 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 302 Bachman Ln, Godfrey, IL 62035-2123 | 2006-11-20 |
| 1265506091 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 308 Bachman Ln, Godfrey, IL 62035-2123 | 2006-11-20 |
| 1174696157 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 6301 Humbert Rd, Godfrey, IL 62035-2163 | 2006-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEVERLY FARM FOUNDATION | 6301 Humbert Rd, Godfrey, IL 62035-2163 |
| Street Address |
6301 HUMBERT RD |
| City | GODFREY |
| State | IL |
| Zip Code | 62035-2163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174696157 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 6301 Humbert Rd, Godfrey, IL 62035-2163 | 2006-11-16 |
| 1699234062 | Allie E Thyer | Speech-Language Pathologist | 6301 Humbert Rd, Godfrey, IL 62035-2163 | 2019-03-15 |
| 1659792315 | Beverly Farm Living Options | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6301 Humbert Rd, Godfrey, IL 62035-2163 | 2013-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548775109 | Bethany E Huelskoetter | Nurse Practitioner | 6702 Godfrey Road, Godfrey, IL 62035 | 2017-12-05 |
| 1720448806 | Sarah Gieszelmann | Nurse Practitioner | 5520 Godfrey Rd Ste B, Godfrey, IL 62035 | 2016-03-02 |
| 1629457536 | Callie Ann Feldman | Occupational Therapy Assistant | 1373 D'adrian Professional Park, Godfrey, IL 62035 | 2015-05-26 |
| 1962767038 | Win U Care for Health | Dietetic Technician, Registered | 321 Big Arch Rd., Godfrey, IL 62035 | 2012-07-05 |
| 1790049831 | Julia Lynn Phillips | Dietetic Technician, Registered | 321 Big Arch Rd, Godfrey, IL 62035 | 2012-07-03 |
| 1578729810 | Home and Environments for Living and Programs | Intermediate Care Facility, Mentally Retarded | 110 N Alby Court, Godfrey, IL 62035 | 2008-08-06 |
| 1497960777 | Joanne T Schulmeister | Dentist | 1203 West Delmar, Godfrey, IL 62035 | 2007-05-11 |
| 1760522965 | Lori Behrens | Social Worker | 5090 Humbert Road, Godfrey, IL 62035 | 2007-02-07 |
| 1699868257 | Beverly Enterprises - Illinois, Inc. | Skilled Nursing Facility | 1623 W. Delmar, #29, Godfrey, IL 62035 | 2006-10-02 |
| 1326147802 | Kymberly Barnard | Speech-Language Pathologist | 6501 Timber Ridge Ln, Godfrey, IL 62035 | 2006-09-21 |
| Find all providers in zip 62035 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515665 | People Overcoming With Everlasting Results, Inc. | Day Training, Developmentally Disabled Services | 6400 W Main St Ste 1f-3, Belleville, IL 62223-3806 | 2019-12-19 |
| 1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
| 1215424460 | Victor C. Neumann Association | Day Training, Developmentally Disabled Services | 4434 W Diversey Ave, Chicago, IL 60639-1939 | 2018-04-13 |
| 1194212399 | Victor C Neumann Association | Day Training, Developmentally Disabled Services | 4122 N Nashville Ave, Chicago, IL 60634-1429 | 2018-04-13 |
| 1952825770 | Help At Home, LLC | Day Training, Developmentally Disabled Services | 1 N State St Ste 800, Chicago, IL 60602-3312 | 2017-08-02 |
| 1316478878 | Kathryn Elaine Miller Rose | Day Training, Developmentally Disabled Services | 1207 Lakeside Ln, Mahomet, IL 61853-9767 | 2017-03-25 |
| 1063943645 | Lf Walls Corp | Day Training, Developmentally Disabled Services | 1404 Fox Hound Trl, Beecher, IL 60401-5106 | 2017-03-24 |
| 1285186254 | Dorr-wood Ltd | Day Training, Developmentally Disabled Services | 1001 Rail Dr, Woodstock, IL 60098-9411 | 2016-10-26 |
| 1558818930 | Autismchicago | Day Training, Developmentally Disabled Services | 8035 S Wabash Ave, Chicago, IL 60619-3516 | 2016-09-02 |
| 1518411594 | Transitions of Western Illinois | Day Training, Developmentally Disabled Services | 631 N 48th St, Quincy, IL 62305-7918 | 2016-08-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.