The Esther Services Project of So Il, Inc

Key facts

NPI

1609333129

Entity type

Organization (NPI type 2)

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Legal business name

THE ESTHER SERVICES PROJECT OF SO IL, INC

Practice address

105 East St
Xenia, IL 62899-1274

Phone

(618) 572-8234

Fax

(618) 801-1442

NPI assigned

Feb 21, 2019

Organization subpart

No

Authorized official

Name

Ms. Pamela M Smith

Title

Owner/Ex Director

Phone

(618) 572-8234

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 21, 2019.

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1609333129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 EAST ST",
            "city": "XENIA",
            "state": "IL",
            "postal_code": "628991274",
            "telephone_number": "618-572-8234",
            "fax_number": "618-801-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EAST ST",
            "city": "XENIA",
            "state": "IL",
            "postal_code": "628991274",
            "telephone_number": "618-572-8234",
            "fax_number": "618-801-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ESTHER SERVICES PROJECT OF SO IL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/EX DIRECTOR",
        "authorized_official_telephone_number": "618-572-8234",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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