Hickory Estates
Intellectual Disabilities Intermediate Care Facility · Sumner, IL
Practice location
310 Otha StreetSumner, IL 62466-0164
- Phone
- (618) 936-2004
- Fax
- (618) 936-2556
NPI record
- NPI
- 1013182807
- Entity type
- Organization (Type 2)
- Enumeration date
- April 23, 2008
- Last updated
- April 23, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X |
0030510 | IL |
Mailing address
310 Otha StreetSumner, IL 62466
- Phone
- (618) 936-2004
- Fax
- (618) 936-2556
Authorized official
- Name
- Ms. Peter Michael Narish, ADMINISTRATOR
- Title
- Administrator
- Phone
- (618) 936-2004
About Hickory Estates
Hickory Estates is a healthcare organization registered in the NPI registry with the primary taxonomy Intellectual Disabilities Intermediate Care Facility (code 315P00000X). The practice location is 310 Otha Street, Sumner, IL 62466-0164. The NPI number 1013182807 was assigned on April 23, 2008 and the record was last updated on April 23, 2008.
Hickory Estates lists a license in the registry: #0030510 (IL) for Intellectual Disabilities Intermediate Care Facility. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Ms. Peter Michael Narish, ADMINISTRATOR, Administrator.
Frequently asked questions
What is the NPI number of Hickory Estates?
The NPI number is 1013182807.
What is the phone number of Hickory Estates?
The phone number listed for the practice location is (618) 936-2004.
Where is Hickory Estates located?
310 Otha Street, Sumner, IL 62466-0164.
What is the taxonomy code for Hickory Estates?
The primary taxonomy code is 315P00000X – Intellectual Disabilities Intermediate Care Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.