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BEVERLY FARM FOUNDATION
NPI 1174696157
Intermediate Care Facility, Intellectual Disabilities in Godfrey, IL

Active since November 16, 2006
6301 HUMBERT RD, GODFREY, IL 62035(618) 466-0367(618) 466-3652 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Farm Foundation NPPES

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

BEVERLY FARM FOUNDATION (NPI 1174696157) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Godfrey, Illinois and active in the NPI registry since November 2006. The organization lists Brenda E. Miller, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1174696157
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBEVERLY FARM FOUNDATION
Location Address6301 HUMBERT RDGodfrey, IL 62035-2163
Mailing Address6301 Humbert RdGodfrey, IL 62035-2163 · (618) 466-0367 · Fax (618) 466-3652
Phone(618) 466-0367
Fax(618) 466-3652
Organization SubpartNo
Authorized OfficialBrenda E. MillerFinance Director · (618) 466-0367
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 25, 2016
✔ NPI 1174696157 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 · 0038604
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
6301 HUMBERT RD, Godfrey, IL 62035
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified212640IL · Provider #
Medicaid=========009IL

Other Providers at the Same Location NPPES 6

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

BEVERLY FARM FOUNDATION
Day Training, Developmentally Disabled Services
6301 HUMBERT RD
GODFREY, IL 62035
Madison County (618) 466-0367
BEVERLY FARM LIVING OPTIONS
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
6301 HUMBERT RD
GODFREY, IL 62035
Madison County (618) 466-0367
ALLIE E THYER MS CCC-SLP
Speech-Language Pathologist
6301 HUMBERT RD
GODFREY, IL 62035
Madison County (618) 466-0367
SYDNEE NICOLE LOLLIS
Speech-Language Pathologist
6301 HUMBERT RD
GODFREY, IL 62035
Madison County (618) 466-0367
ALLISON CHELSEA FOWLER OTR/L
Physical Medicine & Rehabilitation
6301 HUMBERT RD
GODFREY, IL 62035
Madison County (618) 466-0367
GWENDOLYN RAE PAGE RODRIGUEZ BCBA
Behavior Analyst
6301 HUMBERT RD
GODFREY, IL 62035
Madison County (618) 466-0367

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 Beverly Farm Foundation's NPI number?

The NPI number for Beverly Farm Foundation is 1174696157. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Beverly Farm Foundation located?

Beverly Farm Foundation is located at 6301 Humbert Rd, Godfrey, IL 62035. The listed phone number is (618) 466-0367.

What is Beverly Farm Foundation'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 Beverly Farm Foundation was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.