BEVERLY FARM LIVING OPTIONS – NPI #1659792315
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BEVERLY FARM LIVING OPTIONS is a community based residential treatment facility located in GODFREY, IL. NPPES has assigned the NPI number 1659792315 to BEVERLY FARM LIVING OPTIONS on December 26, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 BEVERLY FARM LIVING OPTIONS below.

NPI Profile for
BEVERLY FARM LIVING OPTIONS

NPI Number
1659792315
Enumeration Date

(more than 12 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
BEVERLY FARM LIVING OPTIONS
Primary location
6301 HUMBERT RD
GODFREY, IL 62035-2163
Phone: (618) 466-0367 Fax: (618) 466-3652
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARTHA WARFORD
EXECUTIVE DIRECTOR
Phone: (618) 466-0367
Updated
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.

Taxonomy Classification / Specialization State License
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 IL 201300002M

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.