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REGINA M BAUER
NPI 1063986214
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Breese, IL

Active since January 21, 2019
989 N 5TH ST, BREESE, IL 62230(618) 772-3522 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Regina M Bauer NPPES

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

REGINA M BAUER (NPI 1063986214) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Breese, Illinois and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1063986214
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameREGINA M BAUER
Location Address989 N 5TH STBreese, IL 62230-1329
Mailing Address989 N 5th StBreese, IL 62230-1329 · (618) 772-3522
Phone(618) 772-3522
Sole ProprietorYes
Enumeration DateJanuary 21, 2019
✔ NPI 1063986214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

989 N 5TH ST, Breese, IL 62230
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Frequently Asked Questions

What is Regina Bauer's NPI number?

The NPI number assigned to this healthcare provider is 1063986214, enumerated as an "individual" on January 21, 2019.

Where is the provider located?

The provider is located at 989 N 5TH ST BREESE, IL 62230 and the phone number is (618) 772-3522.

What is the provider's specialty?

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.