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ALCOHOLIC REHABILITATION COMMUNITY HOME
NPI 1891910709
Substance Abuse Rehabilitation Facility in Granite City, IL

Active since April 16, 2007
1313 21ST ST, GRANITE CITY, IL 62040(618) 877-4987(618) 877-4930 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alcoholic Rehabilitation Community Home NPPES

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

ALCOHOLIC REHABILITATION COMMUNITY HOME (NPI 1891910709) is a healthcare organization registered as a substance abuse rehabilitation facility in Granite City, Illinois and active in the NPI registry since April 2007. The organization lists Cary Green, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891910709
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameALCOHOLIC REHABILITATION COMMUNITY HOME
Location Address1313 21ST STGranite City, IL 62040-4756
Mailing Address1313 21st StGranite City, IL 62040-4756 · (618) 877-4987 · Fax (618) 877-4930
Phone(618) 877-4987
Fax(618) 877-4930
Organization SubpartNo
Authorized OfficialCary GreenExecutive Director · (618) 877-4987
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1891910709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in IL · A06870001A
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1313 21ST ST, Granite City, IL 62040
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Other Identifiers 1

OtherA06870001AIL · Dhs - Oasa

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 Alcoholic Rehabilitation Community Home's NPI number?

The NPI number for Alcoholic Rehabilitation Community Home is 1891910709. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Alcoholic Rehabilitation Community Home located?

Alcoholic Rehabilitation Community Home is located at 1313 21st St, Granite City, IL 62040. The listed phone number is (618) 877-4987.

What is Alcoholic Rehabilitation Community Home's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Alcoholic Rehabilitation Community Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.