PATTERSON HOUSE, INC. (NPI# 1548433154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548433154 |
| Entity Type | Organization |
| Organization Name | PATTERSON HOUSE, INC. |
| Other Organization Name | EMERALD ESTADES |
| Practice Address |
1577 E Myrtle St Canton IL 61520-1520 |
| Mailing Address |
Po Box 25527 Decatur IL 62525-5527 |
| Practice Telephone | 3096476604 |
| Practice Fax Number | 3096470440 |
| Mailing Telephone | 2174226510 |
| Mailing Fax Number | 2174226819 |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | MS. MARCIA ROSE (RSD) |
| Authorized Official Telephone | 3096476604 |
| Authorized Official Credential | QMRP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | 0039354 | IL | Transportation Services |
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 0039354 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Emerald Estades | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073786562 | Patterson House, Inc. | Secured Medical Transport (VAN) | 3240 Barney Ave, Pekin, IL 61554-6233 | 2008-04-07 |
| 1326226564 | Patterson House, Inc. | Non-emergency Medical Transport (VAN) | 1221 S Plum St, Carlinville, IL 62626-2048 | 2008-02-08 |
| Street Address |
1577 E MYRTLE ST |
| City | CANTON |
| State | IL |
| Zip Code | 61520-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
| 1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
| 1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
| 1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
| 1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
| 1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
| 1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
| 1417261041 | Erin Kathleen Buckley | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520 | 2010-08-06 |
| 1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
| 1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
| Find all providers in zip 61520 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (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. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902183791 | Miller Holdings Stark, Inc. | Intermediate Care Facility, Mentally Retarded | 1121 Deborah St Nw, Canton, OH 44720-3821 | 2011-11-08 |
| 1689847444 | People Developed Systems, Inc | Intermediate Care Facility, Mentally Retarded | 4914 Hills and Dales Rd Nw, Canton, OH 44708-1406 | 2008-04-11 |
| 1558559815 | Voca Corporation of Ohio | Intermediate Care Facility, Mentally Retarded | 4200 David Ave Nw, Canton, OH 44709-2381 | 2007-10-11 |
| 1366639544 | Voca Corporation of Ohio | Intermediate Care Facility, Mentally Retarded | 1606 42nd St Nw, Canton, OH 44709-1764 | 2007-10-01 |
| 1801083084 | Voca Corporation of Ohio | Intermediate Care Facility, Mentally Retarded | 2424 Market Ave N, Canton, OH 44714-1942 | 2007-10-01 |
| 1679780555 | Voca Corp | Intermediate Care Facility, Mentally Retarded | 3317 Maxine Ave Ne, Canton, OH 44705-3800 | 2007-05-17 |
| 1659353688 | Preferred Care Developmental Centers of Ms I Inc | Intermediate Care Facility, Mentally Retarded | 1145 Tisdale Ave, Canton, MS 39046-4965 | 2005-11-16 |
| 1780183822 | N Market Leasing Co. LLC | Intermediate Care Facility, Mentally Retarded | 1223 Market Ave N, Canton, OH 44714-2603 | 2018-02-05 |
| 1275901167 | Baptist Homes Inc | Intermediate Care Facility, Mentally Retarded | 461 Goodloe Rd, Canton, MS 39046-9740 | 2015-09-09 |
| 1326212580 | People Developed Systems Inc | Intermediate Care Facility, Mentally Retarded | 4914 Hills and Dales Rd Nw, Canton, OH 44708-1406 | 2008-04-18 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on PATTERSON HOUSE, INC..
| 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.