Homestead House

Primary specialty

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

Legal business name

HOMESTEAD HOUSE

Practice address

905 North Jefferson
West Frankfort, IL 62896

Phone

(618) 932-2725

Fax

(618) 932-2660

NPI assigned

Aug 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William James Mattingly

Title

Partner Administrator

Phone

(618) 985-8351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1881884187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NORTH DIVISION STREET",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "62918",
            "telephone_number": "618-985-8351",
            "fax_number": "618-985-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NORTH JEFFERSON",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "62896",
            "telephone_number": "618-932-2725",
            "fax_number": "618-932-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PARTNER ADMINISTRATOR",
        "authorized_official_telephone_number": "618-985-8351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Hilliard
• Corbana Hodges, BS
• Danyale Hollis
• Jenny K Holloway, HID
• Melissa Holmes
• Diedra Hopes
• Stacey Horaz
• William Hubenthal
• James T Hudgens
• Anthony James Hughes, LCPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Frankfort, IL
• Providers in West Frankfort, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.