Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareDECATUR MANOR HEALTHCARE, LLC
Intermediate Care Facility, Mental Illness
Decatur, Illinois
Provider NPI: 1134126063
Organization Information:Organization Name: DECATUR MANOR HEALTHCARE, LLC
Practice Location:
1016 W PERSHING RD DECATUR, IL 62526 US
Tel: 217-875-0833 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:
1016 W PERSHING RD DECATUR, IL 62526 US
Tel: 217-875-0833 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | ||
| Y | 310500000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mental Illness | IL | 0049262 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 612731133 | IL | 05 | |
| 31CX5 | IL | 05 | |
| 370969602 | IL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin