Organization Active NPI

Comwell

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sparta, IL
National Provider Identifier
1174356471
Registry record updated Aug 22, 2024
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
207 N James St
Sparta, IL 62286-1213
Phone
(618) 282-6233
NPI assigned
Aug 22, 2024
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Ashley Renner, AM
Title
Billing/Credentialing
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

207 N James St
Sparta, IL 62286-1213

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Human Service Center22 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

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1174356471",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N JAMES ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861213",
            "telephone_number": "618-282-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "618-282-6233",
        "authorized_official_credential": "AM"
    },
    "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 Aug 22, 2024; 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.