PIASA MANOR
NPI 1578729810
Intermediate Care Facility, Intellectual Disabilities in Godfrey, IL

Q: What is Home And Environments For Living And Programs's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since August 06, 2008

110 N ALBY COURT, GODFREY, IL 62035(618) 466-9243(618) 466-9517 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Piasa Manor NPPES

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

PIASA MANOR (NPI 1578729810) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Godfrey, Illinois and active in the NPI registry since August 2008. The organization lists Catherine A Brookshire, Administrator, as its authorized official.

NPPES Registry Identity

NPI1578729810

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameHOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS

Location Address110 N ALBY COURTGodfrey, IL 62035

Mailing Address40 Adloff LnSpringfield, IL 62703-4441 · (217) 529-9632 · Fax (217) 529-9635

Phone(618) 466-9243

Fax(618) 466-9517

Organization SubpartNo

Authorized OfficialCatherine A BrookshireAdministrator · (217) 529-9632

Enumeration DateAugust 6, 2008

✔ NPI 1578729810 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 · 0038422

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

110 N ALBY COURT, Godfrey, IL 62035

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Other Names 1

Doing Business AsPiasa Manor

Other Identifiers 1

Medicaid=========004IL

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 Home And Environments For Living And Programs's NPI number?

The NPI number for Home And Environments For Living And Programs is 1578729810. It was assigned to this organization in the NPPES registry on August 6, 2008. The provider is doing business as Piasa Manor.

Where is Home And Environments For Living And Programs located?

Home And Environments For Living And Programs is located at 110 N Alby Court, Godfrey, IL 62035. The listed phone number is (618) 466-9243.

What is Home And Environments For Living And Programs'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 Home And Environments For Living And Programs was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.