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ILLINOIS VETERANS HOME AT QUINCY
NPI 1386708568
Residential Treatment Facility, Physical Disabilities in Quincy, IL

Active since December 21, 2006CLIA 14D0980656 · Waiver
1707 N 12TH ST, QUINCY, IL 62301(217) 222-8641(217) 222-8578 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illinois Veterans Home At Quincy NPPES

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

ILLINOIS VETERANS HOME AT QUINCY (NPI 1386708568) is a healthcare organization registered as a residential treatment facility, physical disabilities in Quincy, Illinois and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Bruce L Vaca, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386708568
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameILLINOIS VETERANS HOME AT QUINCY
Location Address1707 N 12TH STQuincy, IL 62301-1355
Mailing Address1707 N 12th St, Bldg 29mQuincy, IL 62301-1355 · (217) 222-9487 · Fax (217) 222-8578
Phone(217) 222-8641
Fax(217) 222-8578
Organization SubpartNo
Authorized OfficialBruce L VacaAdministrator · (217) 222-8641
Enumeration DateDecember 21, 2006
Last NPPES UpdateJuly 15, 2010
✔ NPI 1386708568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in IL · 44107
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X · License 0044107 (IL)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1707 N 12TH ST, Quincy, IL 62301
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN363700
Medicare NSC0972480001
Other00122001Bcbs
Medicare PINCE7478

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0980656

Illinois Veterans Home At Quincy · Quincy, IL
Active · expires Nov 28, 2026
CLIA Number14D0980656
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 29, 2024
Certificate Expiration DateNovember 28, 2026
Laboratory DirectorCharles Newton
Laboratory Phone(217) 640-2232
Laboratory LocationIllinois Veterans Home At Quincy1707 North 12th St, Quincy, IL 62301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

CYNTHIA J FRITTS LCSW
Social Worker (Clinical)
1707 N 12TH ST
QUINCY, IL 62301
Adams County (217) 222-8641
EMILY ELISE GOERLICH M.A., CF-SLP
Speech-Language Pathologist
1707 N 12TH ST
QUINCY, IL 62301
Adams County (217) 222-8641
KELVIN R ROBERTS LCSW
Social Worker (Clinical)
1707 N 12TH ST
QUINCY, IL 62301
Adams County (217) 222-9487
ROBERT J HAAS LCSW
Social Worker (Clinical)
1707 N 12TH ST, BLDG 29M
QUINCY, IL 62301
Adams County (217) 222-8641
ERIN M BAKER L.C.S.W.
Social Worker (Clinical)
1707 N 12TH ST
QUINCY, IL 62301
Adams County (217) 222-9487
KATHLEEN ANN CARTER L.C.S.W.
Social Worker (Clinical)
1707 N 12TH ST
QUINCY, IL 62301
Adams County (217) 222-8641
CYNTHIA M ROOT LCSW
Social Worker (Clinical)
1707 N 12TH ST
QUINCY, IL 62301
Adams County (217) 222-8641
JOLENE A KISER
Social Worker (Clinical)
1707 N 12TH ST
QUINCY, IL 62301
Adams County (217) 222-8641

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 Illinois Veterans Home At Quincy's NPI number?

The NPI number for Illinois Veterans Home At Quincy is 1386708568. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Illinois Veterans Home At Quincy located?

Illinois Veterans Home At Quincy is located at 1707 N 12th St, Quincy, IL 62301. The listed phone number is (217) 222-8641.

What is Illinois Veterans Home At Quincy's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Does Illinois Veterans Home At Quincy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0980656) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Illinois Veterans Home At Quincy was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.