NPIMap

Organization Active NPI

Personal Care Services Inc.

Doing business as Summer House

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Quincy, IL
National Provider Identifier
1871615054
Registry record updated Mar 24, 2017
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
PERSONAL CARE SERVICES INC.
Doing business as
Summer House
Practice address
3325 Ghost Hollow Rd
Quincy, IL 62305-8560
Phone
(217) 430-5628
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Mr. Paul J Holtschlag
Title
President
Phone
(217) 430-5628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3325 Ghost Hollow Rd
Quincy, IL 62305-8560

Mailing address

401 West Summer Street
Monroe City, MO 63456-1316
Phone (217) 430-5628

Other identifiers 1

IdentifierTypeStateIssuer
852691419MedicaidMO

Other names 1

  • Summer House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Personal Care Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1871615054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WEST SUMMER STREET",
            "city": "MONROE CITY",
            "state": "MO",
            "postal_code": "634561316",
            "telephone_number": "217-430-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 GHOST HOLLOW RD",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623058560",
            "telephone_number": "217-430-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "HOLTSCHLAG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-430-5628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "852691419",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.