NPIMap

Organization Active NPI

Marion County Horizon Center D/B/a Richland Manor

  • Intellectual Disabilities Intermediate Care Facility
  • Olney, IL
National Provider Identifier
1942491162
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0036285 Issued in IL
Legal business name
MARION COUNTY HORIZON CENTER D/B/A RICHLAND MANOR
Practice address
1066 West Main St
Olney, IL 62450
Phone
(618) 395-2437
Fax
(618) 392-2673
NPI assigned
Aug 5, 2007
Last updated
Sep 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0036285 IL Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 201200007M IL

Addresses

Primary practice location

1066 West Main St
Olney, IL 62450

Mailing address

122 North Hotze Rd
P.O. Box 745
Salem, IL 62881
Phone (618) 548-0309

Other identifiers 1

IdentifierTypeStateIssuer
201200007MOtherILDEPARTMENT OF HUMAN SERVICES, PROVISIONAL CILA LICENSE

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1942491162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 NORTH HOTZE RD",
            "address_2": "P.O. BOX 745",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "62881",
            "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": "1066 WEST MAIN ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "62450",
            "telephone_number": "618-395-2437",
            "fax_number": "618-392-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION COUNTY HORIZON CENTER D/B/A RICHLAND MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2012-09-17",
        "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": "0036285",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "201200007M",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HUMAN SERVICES, PROVISIONAL CILA LICENSE",
            "identifier": "201200007M",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.