UNIT 4464 CYPRESS HALL UPPER
NPI 1104958966
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Anna, IL

Active since March 09, 2007
1000 N MAIN ST, ANNA, IL 62906(618) 833-5161 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Unit 4464 Cypress Hall Upper NPPES

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

UNIT 4464 CYPRESS HALL UPPER (NPI 1104958966) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Anna, Illinois and active in the NPI registry since March 2007. The organization lists Bruce Brown, Reimbursement Officer Ii, as its authorized official.

NPPES Registry Identity

NPI1104958966
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameUNIT 4464 CYPRESS HALL UPPER
Location Address1000 N MAIN STAnna, IL 62906-1652
Mailing Address1000 N Main StAnna, IL 62906-1652 · (618) 833-5161
Organization SubpartNo
Authorized OfficialBruce BrownReimbursement Officer Ii · (618) 833-5161
Enumeration DateMarch 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1104958966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

1000 N MAIN ST, Anna, IL 62906

Other Identifiers 1

Medicaid14G045IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1000 N MAIN ST
ANNA, IL 62906
Psychologist
1000 N MAIN ST
ANNA, IL 62906
Intermediate Care Facility, Intellectual Disabilities
1000 N MAIN ST
ANNA, IL 62906
Pharmacy (Long Term Care Pharmacy)
1000 N MAIN ST
ANNA, IL 62906
Licensed Practical Nurse
1000 N MAIN ST
ANNA, IL 62906
Psychiatry & Neurology (Psychiatry)
1000 N MAIN ST
ANNA, IL 62906
Dentist
1000 N MAIN ST
ANNA, IL 62906

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 Unit 4464 Cypress Hall Upper's NPI number?

The NPI number for Unit 4464 Cypress Hall Upper is 1104958966. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Unit 4464 Cypress Hall Upper located?

Unit 4464 Cypress Hall Upper is located at 1000 N Main St, Anna, IL 62906. The listed phone number is (618) 833-5161.

What is Unit 4464 Cypress Hall Upper's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Unit 4464 Cypress Hall Upper was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.