Organization Active NPI

Hancock County Senior Services

  • Assisted Living Facility
  • Carthage, IL
National Provider Identifier
1740725340
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HANCOCK COUNTY SENIOR SERVICES
Practice address
404 S Adams Street
Carthage, IL 62321
Phone
(217) 357-8800
Fax
(217) 357-6594
NPI assigned
Jan 5, 2017
Last updated
Jan 5, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HANCOCK COUNTY NURSING HOMEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Authorized official

Name
Ms. Ada Bair
Title
Ceo
Phone
(217) 357-8566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X IL Primary

Addresses

Primary practice location

404 S Adams Street
Carthage, IL 62321

Mailing address

404 S Adams Street
Carthage, IL 62321
Phone (217) 357-8800

Other names 1

  • Hickory Grove South Apartments Other name

National Provider Directory

National Provider Directory
Tax ID family
Hancock County Nursing Home4 organizations share this tax ID, including this one
Part of
Hancock County Nursing Home

Other organizations with this tax ID 3

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

Locations

404 S Adams St
Carthage, IL 62321
Phone (217) 357-8800

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1740725340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S ADAMS STREET",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "62321",
            "telephone_number": "217-357-8800",
            "fax_number": "217-357-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S ADAMS STREET",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "62321",
            "telephone_number": "217-357-8800",
            "fax_number": "217-357-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK COUNTY SENIOR SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANCOCK COUNTY NURSING HOME",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "BAIR",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-357-8566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Grove South Apartments",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carthage, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.