CUBBULL, INC.


Address: 121 W Elm St, Box 478, Canton, IL 61520-2513
Phone: 3092244093

CUBBULL, INC. (NPI# 1649625377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649625377
Entity Type Organization
Organization Name CUBBULL, INC.
Practice Address 121 W Elm St
Box 478
Canton
IL 61520-2513
Practice Telephone 3092244093
Mailing Telephone 3092244093
Enumeration Date 2016-05-02
Last Update Date 2016-05-02
Authorized Official Name SUSAN L BARNHART (PRESIDENT)
Authorized Official Telephone 3092244093
Authorized Official Credential RN, MS, MAED, QI
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 200900009S IL Residential Treatment Facilities

Office Location

Street Address 121 W ELM ST
BOX 478
City CANTON
State IL
Zip Code 61520-2513

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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1689046856 Community Spirit Homes Incorporated Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5860 N Canton Center Rd Ste 320, Canton, MI 48187-2687 2015-10-27
1477807501 Martha Lloyd School, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 75 Cedar Ridge Drive, Canton, PA 17724-1407 2012-10-26
1023364809 Battle Services LLC. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2912 Vienna Woods Ave Sw, Canton, OH 44706-5627 2012-07-30
1417187444 Martha Lloyd - Center Street Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities Rr 2 Box 3272, Canton, PA 17724-8650 2009-07-24
1194184770 Martha Lloyd Community Residential Facility Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 312 E 2nd St, Canton, PA 17724-1930 2016-02-11

Providers in the same taxonomy and state

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1053949404 A Great Place To Stay LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 35580 N Knowles Rd, Lake Villa, IL 60046-9026 2020-03-31
1255966602 Infinicare LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1939 Waukegan Rd Ste 300, Glenview, IL 60025-1758 2020-03-05
1023643772 Supporting Community Independence Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1 Polo Grounds Ct, Bethalto, IL 62010-2623 2020-03-03
1770116287 Universal Homes LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12101 S La Salle St, Chicago, IL 60628-6618 2020-02-13
1760014625 Tomeka R Morgan Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11543 S Ashland Ave, Chicago, IL 60643-5001 2020-02-10
1487292660 Shalom Home Health Ltd Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8147 Seminole Ct, Orland Park, IL 60462-4919 2019-12-18
1447894613 Compassionate Living Home Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2625 Butterfield Rd Ste 314e, Oak Brook, IL 60523-1234 2019-10-31
1417599945 Miracle Comprehensive Serivces Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4440 Lincoln Hwy Ste 205, Matteson, IL 60443-3803 2019-10-16
1609435072 Bliss Haven, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1304 Durham St, Johnston City, IL 62951-2043 2019-06-10
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Competitor

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City CANTON
Zip Code 61520

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Dataset Information

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.

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