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MR. DEMINGO COLLINS
NPI 1518724673
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in O Fallon, IL

Active since March 04, 2024
613 LAURELWOOD CT, O FALLON, IL 62269(702) 875-1766 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Demingo Collins NPPES

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

MR. DEMINGO COLLINS (NPI 1518724673) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in O Fallon, Illinois, licensed in Illinois (202400006C) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1518724673
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameMR. DEMINGO COLLINS
Location Address613 LAURELWOOD CTO Fallon, IL 62269-7064
Mailing Address613 Laurelwood CtO Fallon, IL 62269-7064 · (702) 875-1766
Phone(702) 875-1766
Sole ProprietorYes
Enumeration DateMarch 4, 2024
NPPES CertifiedMarch 4, 2024
✔ NPI 1518724673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in IL · 202400006C
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

613 LAURELWOOD CT, O Fallon, IL 62269
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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 Demingo Collins's NPI number?

The NPI number for Demingo Collins is 1518724673. It was assigned to this individual provider in the NPPES registry on March 4, 2024.

Where is Demingo Collins located?

Demingo Collins practices at 613 Laurelwood Ct, O Fallon, IL 62269. The listed phone number is (702) 875-1766.

What is Demingo Collins's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Demingo Collins was last updated on March 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.