SUNSET HOME
Alzheimer Center
Quincy, Illinois
Provider NPI: 1215937867
Organization Information:Organization Name: SUNSET HOME
Practice Location:
418 WASHINGTON ST QUINCY, IL 62301 US
Tel: 217-223-2636 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
418 WASHINGTON ST QUINCY, IL 62301 US
Tel: 217-223-2636 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | IL | 0011643 |
X | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | IL | 0011643 |
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IL | 0011643 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0011643 | IL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin