HICKORY ESTATES
NPI 1013182807
Intermediate Care Facility, Intellectual Disabilities in Sumner, IL

Q: What is Hickory Estates's NPI number?

The NPI number for Hickory Estates is 1013182807. It was assigned to this organization in the NPPES registry on April 23, 2008.

Q: What is Hickory Estates's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Q: When was this NPI record last updated?

The NPPES record for Hickory Estates was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2008

310 OTHA STREET, SUMNER, IL 62466(618) 936-2004(618) 936-2556 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hickory Estates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HICKORY ESTATES (NPI 1013182807) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Sumner, Illinois and active in the NPI registry since April 2008. The organization lists Peter Michael Narish, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013182807

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameHICKORY ESTATES

Location Address310 OTHA STREETSumner, IL 62466-0164

Mailing Address310 Otha StreetSumner, IL 62466 · (618) 936-2004 · Fax (618) 936-2556

Phone(618) 936-2004

Fax(618) 936-2556

Organization SubpartNo

Authorized OfficialPeter Michael NarishAdministrator · (618) 936-2004

Enumeration DateApril 23, 2008

✔ NPI 1013182807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

License✔ Licensed in IL · 0030510

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

310 OTHA STREET, Sumner, IL 62466

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Other Identifiers 1

Medicaid14G105IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hickory Estates's NPI number?

The NPI number for Hickory Estates is 1013182807. It was assigned to this organization in the NPPES registry on April 23, 2008.

Where is Hickory Estates located?

Hickory Estates is located at 310 Otha Street, Sumner, IL 62466. The listed phone number is (618) 936-2004.

What is Hickory Estates's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Hickory Estates was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.