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Hoyleton Youth and Family Services

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hoyleton, IL

NPI 1134477086 · NPPES record last updated Aug 27, 2012

Key facts

NPI
1134477086
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
License
033699 (IL)
Legal business name
HOYLETON YOUTH AND FAMILY SERVICES
Practice address
157 East Elm Street
Hoyleton, IL 62803
Phone
(618) 493-7382
Fax
(618) 439-6390
NPI assigned
Aug 27, 2012
Organization subpart
No

Authorized official

Name
Mr. Christopher L Cox, LCSW
Title
President / Ceo
Phone
(618) 493-7382

Corporate family (same tax ID) 17

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

National Provider Directory

Tax ID family
Hoyleton Youth and Family Services (18 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 033699 IL Yes

Addresses

Primary practice location

157 East Elm Street
Hoyleton, IL 62803

Mailing address

PO Box 218
350 North Main St
Hoyleton, IL 62803
Phone (618) 493-7382

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2012.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1134477086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "address_2": "350 NORTH MAIN ST",
            "city": "HOYLETON",
            "state": "IL",
            "postal_code": "62803",
            "telephone_number": "618-493-7382",
            "fax_number": "618-493-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 EAST ELM STREET",
            "city": "HOYLETON",
            "state": "IL",
            "postal_code": "62803",
            "telephone_number": "618-493-7382",
            "fax_number": "618-439-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOYLETON YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "618-493-7382",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "033699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoyleton, IL

All providers in Hoyleton, IL · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

Sources for this page

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