Organization Active NPI

Comwell

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sparta, IL
National Provider Identifier
1023220241
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
COMWELL
Practice address
101 Melmar Circle
Sparta, IL 62286-1135
Phone
(618) 443-6044
Fax
(618) 443-6044
NPI assigned
May 3, 2007
Last updated
Feb 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimber L Browne
Title
Director of Finance
Phone
(618) 282-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

101 Melmar Circle
Sparta, IL 62286-1135

Mailing address

10257 State Route 3
Red Bud, IL 62278-4418
Phone (618) 282-6233

National Provider Directory

National Provider Directory
Tax ID family
Comwell22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

101 Melmar Ct
Sparta, IL 62286
Phone (618) 282-6233

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1023220241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10257 STATE ROUTE 3",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622784418",
            "telephone_number": "618-282-6233",
            "fax_number": "618-282-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MELMAR CIRCLE",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861135",
            "telephone_number": "618-443-6044",
            "fax_number": "618-443-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "BROWNE",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "618-282-6233"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.