ILLINOIS VETERANS HOME AT LASALLE – NPI #1942367453
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

ILLINOIS VETERANS HOME AT LASALLE is a residential treatment facility (RTF) located in LASALLE, IL. NPPES has assigned the NPI number 1942367453 to ILLINOIS VETERANS HOME AT LASALLE on January 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

The NPI profile was previously updated about 13 years ago on May 24, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ILLINOIS VETERANS HOME AT LASALLE below.

NPI Profile for
ILLINOIS VETERANS HOME AT LASALLE

NPI Number
1942367453
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ILLINOIS VETERANS HOME AT LASALLE
Primary location
1015 OCONOR AVE
LASALLE, IL 61301-1216
Phone: (815) 223-0303 Fax: (815) 223-5815
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN KOEHLER
ADMINISTRATOR
Phone: (815) 223-0303
Updated
Identifiers

Identifiers for ILLINOIS VETERANS HOME AT LASALLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS05032039
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.