NPIMap

Organization Active NPI

Marion County Horizon Center D/B/a Prairie Estates

  • Intellectual Disabilities Intermediate Care Facility
  • Flora, IL
National Provider Identifier
1528258977
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0036277 Issued in IL
Legal business name
MARION COUNTY HORIZON CENTER D/B/A PRAIRIE ESTATES
Practice address
403 N State Rd
Flora, IL 62839-1519
Phone
(618) 662-9440
Fax
(618) 662-4159
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Mrs. Rita M. Armbrust
Title
Manager
Phone
(618) 548-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0036277 IL Primary

Addresses

Primary practice location

403 N State Rd
Flora, IL 62839-1519

Mailing address

PO Box 745
122 North Hotze Rd
Salem, IL 62881-0745
Phone (618) 548-0309

National Provider Directory

National Provider Directory
Tax ID family
Eastgate House5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

403 N State Rd
Flora, IL 62839
Phone (618) 662-6440

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1528258977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "address_2": "122 NORTH HOTZE RD",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628810745",
            "telephone_number": "618-548-0309",
            "fax_number": "618-548-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N STATE RD",
            "city": "FLORA",
            "state": "IL",
            "postal_code": "628391519",
            "telephone_number": "618-662-9440",
            "fax_number": "618-662-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY HORIZON CENTER D/B/A PRAIRIE ESTATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "ARMBRUST",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "618-548-0309",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0036277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.