Hickory Estates

Lodging Provider · Sumner, IL

Organization Active NPI

NPI number 1790981769

Practice location

310 Otha
Sumner, IL 62466
Phone
(618) 936-2004
Fax
(618) 936-2556

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NPI record

NPI
1790981769
Entity type
Organization (Type 2)
Enumeration date
June 26, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Lodging Provider Primary 177F00000X 0030510 IL

Mailing address

PO Box 164
310 Otha
Sumner, IL 62466-0164
Phone
(618) 936-2004
Fax
(618) 936-2556

Authorized official

Name
Mrs. Sheila Kay Hayes
Title
Asst. Adm.
Phone
(618) 936-2004

About Hickory Estates

Hickory Estates is a healthcare organization registered in the NPI registry with the primary taxonomy Lodging Provider (code 177F00000X). The practice location is 310 Otha, Sumner, IL 62466. The NPI number 1790981769 was assigned on June 26, 2007 and the record was last updated on August 22, 2020.

Hickory Estates lists a license in the registry: #0030510 (IL) for Lodging Provider. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Sheila Kay Hayes, Asst. Adm..

Frequently asked questions

What is the NPI number of Hickory Estates?

The NPI number is 1790981769.

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, Sumner, IL 62466.

What is the taxonomy code for Hickory Estates?

The primary taxonomy code is 177F00000X – Lodging Provider.

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.