COURTYARD SQUARE
NPI 1164600979
Community Based Residential Treatment Facility, Mental Illness in Charleston, IL
- Organization
- Community Based Residential Treatment Fa...
About COURTYARD SQUARE
This page provides the complete NPI Profile along with additional information for Courtyard Square, a provider established in Charleston, Illinois operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1164600979 assigned on February 2008. The practitioner's primary taxonomy code is 320800000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Courtyard Square. The authorized official of this NPI record is Angie Williams B.a. (Access Center Coordinator)
- NPI
- 1164600979 Verify this NPI
- Provider Legal Name
- COLES COUNTY MENTAL HEALTH ASSOCIATION, INC.
- Other Organization Name
- COURTYARD SQUARE
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 415 18TH ST CHARLESTON, IL 61920
- Location Phone
- (217) 238-5700
- Location Fax
- (217) 238-5767
- Mailing Address
- 750 BROADWAY AVE E MATTOON, IL 61938
- Mailing Phone
- (217) 238-5700
- Mailing Fax
- (217) 238-5767
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-04-2008
- Last Update Date
- 04-20-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| =========006 | MEDICAID (05) | IL |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164600979, enumerated as an "organization" on February 04, 2008.
The provider is located at 415 18TH ST CHARLESTON, IL 61920 and the phone number is (217) 238-5700.
Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
