MARION COUNTY HORIZON CENTER D/B/A RICHLAND MANOR


Address: 1066 West Main St, Olney, IL 62450
Phone: 6183952437

MARION COUNTY HORIZON CENTER D/B/A RICHLAND MANOR (NPI# 1942491162) 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) 1942491162
Entity Type Organization
Organization Name MARION COUNTY HORIZON CENTER D/B/A RICHLAND MANOR
Practice Address 1066 West Main St
Olney
IL 62450
Mailing Address 122 North Hotze Rd
P.o. Box 745
Salem
IL 62881
Practice Telephone 6183952437
Practice Fax Number 6183922673
Mailing Telephone 6185480309
Mailing Fax Number 6185483720
Enumeration Date 2007-08-05
Last Update Date 2012-09-17
Authorized Official Name MRS. RITA M ARMBRUST (MANAGER)
Authorized Official Telephone 6185480309
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 201200007M IL Residential Treatment Facilities
Y 315P00000X Intermediate Care Facility, Mentally Retarded 0036285 IL Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL DEPARTMENT OF HUMAN SERVICES, PROVISIONAL CILA LICENSE 201200007M 01

Office Location

Street Address 1066 WEST MAIN ST
City OLNEY
State IL
Zip Code 62450

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851530091 Donna Harris Counselor 515 West St. John Street, Olney, IL 62450 2009-02-11
1942476908 Christa Dawn Jennette Private Vehicle 1113 Keiffer Dr, Olney, IL 62450 2008-04-30
1811100407 Advanced Open Mri, Inc. Clinic/Center 605 East Main Street, Olney, IL 62450 2007-05-08
1548489958 Frank Edward Gruber Dentist 1108 N East St, Olney, IL 62450 2007-04-24
1508084591 Melvin Borja Escalona Physical Therapist 800 East Locust St., Olney, IL 62450 2007-04-23
1881769826 Jeffrey Alan Kocher Chiropractor 731 S West St, Olney, IL 62450 2006-11-22
1336211523 Patricia Lynn Kessler Bookhout Dentist 1104 North East, Olney, IL 62450 2006-11-14
1639159015 Bowers Drug Store Inc Pharmacy 205 E Main, Olney, IL 62450 2006-01-20
1336137199 South Eastern Illinois Counseling Center Inc Counselor 504 Micah Drive, Drawer M, Olney, IL 62450 2005-10-06
1932684313 Kylie L Garbe Nurse Practitioner 1200 N East St, Olney, IL 62450 2018-10-01
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235296690 Rincker Residential Services, Inc. Intermediate Care Facility, Mentally Retarded 1216 Willow Dr, Olney, IL 62450-2483 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871039669 Mount St Joseph Intermediate Care Facility, Mentally Retarded 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 2017-01-17
1447792221 Shore Community Services, Inc. Intermediate Care Facility, Mentally Retarded 8350 Laramie Ave, Skokie, IL 60077-2461 2016-11-10
1770930968 Community Support Systems Intermediate Care Facility, Mentally Retarded 2311 Veterans Drive, Effingham, IL 62401 2016-05-18
1265898266 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 102 S Douglas St, Mc Leansboro, IL 62859-1637 2016-01-06
1164888160 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 1406 W Delaware St, Fairfield, IL 62837-2336 2016-01-06
1376909374 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 416 Chula Vista Dr, Belleville, IL 62221-3160 2016-01-06
1437515434 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 206 N Washington St, Mc Leansboro, IL 62859-1049 2016-01-06
1790141885 Tdl Group, Inc Intermediate Care Facility, Mentally Retarded 212 Turning Leaf Cir, Belleville, IL 62221-6747 2016-01-06
1790141794 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 867 County Road 2150 E, Fairfield, IL 62837-2824 2016-01-06
1255797254 Tdl Group, Inc. Intermediate Care Facility, Mentally Retarded 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 2016-01-06
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Competitor

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City OLNEY
Zip Code 62450

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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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