HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS (NPI# 1962658120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962658120 |
| Entity Type | Organization |
| Organization Name | HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS |
| Other Organization Name | LEBANON TERRACE |
| Practice Address |
221 E 3rd St Lebanon IL 62254-1668 |
| Mailing Address |
40 Adloff Ln Ste 5 Springfield IL 62703-4496 |
| Practice Telephone | 6185374133 |
| Practice Fax Number | 6185374156 |
| Mailing Telephone | 2175299632 |
| Mailing Fax Number | 2175299635 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | MS. CATHERINE A BROOKSHIRE (ADMINISTRATOR) |
| Authorized Official Telephone | 2175299632 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 0038430 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lebanon Terrace | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578729810 | Home and Environments for Living and Programs | Intermediate Care Facility, Mentally Retarded | 110 N Alby Court, Godfrey, IL 62035 | 2008-08-06 |
| 1255587408 | Home and Environments for Living and Programs | Intermediate Care Facility, Mentally Retarded | 50 Adloff Ln, Springfield, IL 62703-4402 | 2008-08-07 |
| Street Address |
221 E 3RD ST |
| City | LEBANON |
| State | IL |
| Zip Code | 62254-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104945716 | Lebanon Terrace | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 221 E 3rd St, Lebanon, IL 62254-1668 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477788305 | Tonya Gass | Occupational Therapist | 1201 North Alton, Lebanon, IL 62254 | 2009-05-21 |
| 1679550644 | Lebanon Hco, LLC | Skilled Nursing Facility | 1201 N Alton St, Lebanon, IL 62254-1103 | 2005-12-29 |
| 1346873510 | Lebanon Hco, LLC | Skilled Nursing Facility | 1201 N Alton St, Lebanon, IL 62254-1103 | 2020-02-17 |
| 1245475664 | Elizabeth Budd Korte | Family Medicine | 420 Hillcrest Dr, Lebanon, IL 62254-1107 | 2008-12-15 |
| 1467892760 | Christy Nichole Niles | Counselor | 10918 Fallowfield Dr, Lebanon, IL 62254-1163 | 2013-07-01 |
| 1144293820 | William Edward Dill II | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2006-02-10 |
| 1558988519 | Blake Hudspeth | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2020-06-25 |
| 1255957544 | Abigail Louise Conner | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2020-06-22 |
| 1588280200 | Katy Renee Gayford | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2020-06-18 |
| 1629595509 | Joshua Parker Craig | Specialist/Technologist | 701 College Rd, Lebanon, IL 62254-1291 | 2017-08-23 |
| Find all providers in zip 62254 | ||||
| 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 |
|---|---|---|---|---|
| 1578693925 | Renova Center | Intermediate Care Facility, Mentally Retarded | 25 Metro Dr, Lebanon, PA 17042-9172 | 2007-03-06 |
| 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 |
| 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.