HICKORY ESTATES
NPI 1790981769
Lodging in Sumner, IL
Active since June 26, 2007
About Hickory Estates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HICKORY ESTATES (NPI 1790981769) is a healthcare organization registered as a lodging in Sumner, Illinois and active in the NPI registry since June 2007. The organization lists Sheila Kay Hayes, Asst. Adm., as its authorized official.
NPPES Registry Identity
NPI1790981769
Entity TypeOrganization
Primary Taxonomy177F00000X
Legal Business NameHICKORY ESTATES
Location Address310 OTHASumner, IL 62466
Mailing AddressPo Box 164, 310 OthaSumner, IL 62466-0164 · (618) 936-2004 · Fax (618) 936-2556
Phone(618) 936-2004
Fax(618) 936-2556
Organization SubpartNo
Authorized OfficialSheila Kay HayesAsst. Adm. · (618) 936-2004
Enumeration DateJune 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790981769 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
License✔ Licensed in IL · 0030510
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
310 OTHA, Sumner, IL 62466
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790981769, enumerated as an "organization" on June 26, 2007.
The provider is located at 310 OTHA SUMNER, IL 62466 and the phone number is (618) 936-2004.
Lodging with taxonomy code 177F00000X.
