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LOCUST STREET RESOURCE CENTER CILA #1
NPI 1700330545
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Carlinville, IL

Active since August 10, 2016
124 W BUCHANAN ST, CARLINVILLE, IL 62626(217) 854-3166(217) 854-9729 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Aug 10, 2016 (2 updates tracked since 2016).

About Locust Street Resource Center Cila #1 NPPES

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

LOCUST STREET RESOURCE CENTER CILA #1 (NPI 1700330545), doing business as Macoupin County Mental Health, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Carlinville, Illinois and active in the NPI registry since August 2016. The organization lists Tracy Haynes, Manager, as its authorized official.

NPPES Registry Identity

NPI1700330545
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameLOCUST STREET RESOURCE CENTER CILA #1
Location Address124 W BUCHANAN STCarlinville, IL 62626-1027
Mailing Address320 S Locust StCarlinville, IL 62626-1648 · (217) 854-3166 · Fax (217) 854-9729
Phone(217) 854-3166
Fax(217) 854-9729
Organization SubpartYesParent: Locust Street Resource Center
Authorized OfficialTracy HaynesManager · (217) 854-3166
Enumeration DateAugust 10, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1700330545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition

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

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
124 W BUCHANAN ST, Carlinville, IL 62626
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Other Names 1

Former Legal Business NameMacoupin County Mental Health

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 Locust Street Resource Center Cila #1's NPI number?

The NPI number for Locust Street Resource Center Cila #1 is 1700330545. It was assigned to this organization in the NPPES registry on August 10, 2016.

Where is Locust Street Resource Center Cila #1 located?

Locust Street Resource Center Cila #1 is located at 124 W Buchanan St, Carlinville, IL 62626. The listed phone number is (217) 854-3166.

What is Locust Street Resource Center Cila #1'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 Locust Street Resource Center Cila #1 was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.