Beverly Farm Foundation
Intellectual Disabilities Intermediate Care Facility · Godfrey, IL
Practice location
308 Bachman LnGodfrey, IL 62035-2123
- Phone
- (618) 466-0367
- Fax
- (618) 466-3652
NPI record
- NPI
- 1265506091
- Entity type
- Organization (Type 2)
- Enumeration date
- November 20, 2006
- Last updated
- August 25, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X |
0037713 | IL |
Mailing address
6301 Humbert RdGodfrey, IL 62035-2163
- Phone
- (618) 466-0367
- Fax
- (618) 466-3652
Authorized official
- Name
- Mrs. Brenda Miller
- Title
- Executive Director
- Phone
- (618) 466-0367
About Beverly Farm Foundation
Beverly Farm Foundation is a healthcare organization registered in the NPI registry with the primary taxonomy Intellectual Disabilities Intermediate Care Facility (code 315P00000X). The practice location is 308 Bachman Ln, Godfrey, IL 62035-2123. The NPI number 1265506091 was assigned on November 20, 2006 and the record was last updated on August 25, 2016.
Beverly Farm Foundation lists a license in the registry: #0037713 (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 Mrs. Brenda Miller, Executive Director.
Frequently asked questions
What is the NPI number of Beverly Farm Foundation?
The NPI number is 1265506091.
What is the phone number of Beverly Farm Foundation?
The phone number listed for the practice location is (618) 466-0367.
Where is Beverly Farm Foundation located?
308 Bachman Ln, Godfrey, IL 62035-2123.
What is the taxonomy code for Beverly Farm Foundation?
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.
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