ILLINOIS VETERANS HOME AT QUINCY
NPI 1386708568
Residential Treatment Facility, Physical Disabilities in Quincy, IL
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
Specialties & Licenses 3
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Illinois Veterans Home At Quincy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Illinois Veterans Home At Quincy, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILFrequently 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.
Is Illinois Veterans Home At Quincy enrolled in Medicare?
Yes. Illinois Veterans Home At Quincy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Illinois Veterans Home At Quincy?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 5 Medicare specialties reassign their Medicare billing to Illinois Veterans Home At Quincy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Clinical Social Worker (3) and Family Practice (1). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Illinois Veterans Home At Quincy · NPI 1386708568
Residential Treatment Facility, Physical Disabilities organization in Quincy, Illinois. Organization record, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1386708568 (Entity type: Organization)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Residential Treatment Facility, Physical Disabilities · taxonomy 320700000X
- **Organization subpart:** No
- **Authorized official:** Bruce Vaca, ADMINISTRATOR
## Practice location
- **Address:** 1707 N 12TH ST, Quincy, IL 62301-1355
- **Phone:** (217) 222-8641 · **Fax:** (217) 222-8578
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Clinical Social Worker (3), Family Practice (1); 1 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2010
- **Other identifiers:** Medicare PIN 363700; Medicare NSC 0972480001; Other 00122001; and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386708568) · Data from the CMS NPPES public registry.