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BEVERLY FARM FOUNDATION
NPI 1265506091
Intermediate Care Facility, Intellectual Disabilities in Godfrey, IL

Active since November 20, 2006
308 BACHMAN LN, 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 09, 2026.

About Beverly Farm Foundation NPPES

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

BEVERLY FARM FOUNDATION (NPI 1265506091) 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 Miller, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265506091
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameBEVERLY FARM FOUNDATION
Location Address308 BACHMAN LNGodfrey, IL 62035-2123
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 MillerExecutive Director · (618) 466-0367
Enumeration DateNovember 20, 2006
Last NPPES UpdateAugust 25, 2016
✔ NPI 1265506091 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 · 0037713
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
308 BACHMAN LN, Godfrey, IL 62035
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Other Identifiers 1

Medicaid=========007IN

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 1265506091. It was assigned to this organization in the NPPES registry on November 20, 2006.

Where is Beverly Farm Foundation located?

Beverly Farm Foundation is located at 308 Bachman Ln, 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.