The Mary Bryant Home Association

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE MARY BRYANT HOME ASSOCIATION

Practice address

2960 Stanton St.
Springfield, IL 62703-4385

Phone

(217) 529-1611

Fax

(217) 529-6975

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jerome Patrick Curry

Title

Executive Director

Phone

(217) 529-1611

Specialties & licenses 1

Addresses

Other names 1

• Mary Bryant Home for the Blind Doing business as

Locations

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1255530945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 STANTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034315",
            "telephone_number": "217-529-1611",
            "fax_number": "217-529-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 STANTON ST.",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034385",
            "telephone_number": "217-529-1611",
            "fax_number": "217-529-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARY BRYANT HOME ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "CURRY",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-529-1611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Bryant Home for the Blind",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Springfield, IL
• Providers in Springfield, IL by specialty
• Assisted Living Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.