CLAY COUNTY REHABILITATION CENTER, INC. (NPI# 1104047208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104047208 |
| Entity Type | Organization |
| Organization Name | CLAY COUNTY REHABILITATION CENTER, INC. |
| Other Organization Name | FLORA OPPORTUNITY CENTER |
| Practice Address |
530 W 4th St Flora IL 62839-1213 |
| Mailing Address |
530 W 4th St P.o. Box 659 Flora IL 62839-1213 |
| Practice Telephone | 6186624916 |
| Practice Fax Number | 6186629354 |
| Mailing Telephone | 6186624916 |
| Mailing Fax Number | 6186629354 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY WHITEHEAD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6186624916 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DAY TRAINING AGENCY ID | 0371 | 01 |
| Other Name | Type Code |
|---|---|
| Flora Opportunity Center | Former Legal Business Name - Organization |
| Street Address |
530 W 4TH ST |
| City | FLORA |
| State | IL |
| Zip Code | 62839-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467887455 | Gayla Kay Dunaway | Occupational Therapist | 232 Givens Dr, Flora, IL 62839 | 2013-09-09 |
| 1952652349 | Health Care Management Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 408 E 4th St, Rosewood Estates, Flora, IL 62839 | 2012-09-25 |
| 1437445947 | Gaurav Nigam | Family Medicine | 911 Stacy Burk Drive, Flora, IL 62839 | 2011-06-22 |
| 1831413947 | Philip K.c. Chung | Obstetrics & Gynecology | 116 East 4th, Floria, IL 62839 | 2010-03-18 |
| 1669672465 | Heritage Woods LLC | Assisted Living Facility | 1003 West 4th Street, Flora, IL 62839 | 2007-07-19 |
| 1043365968 | Martin Dental Associates PC | Dentist | 501 North Main Street, Flora, IL 62839 | 2007-01-23 |
| 1518047356 | Linda L Robards | Registered Nurse | Clay Medical Center, 201 E N Avenue, Flora, IL 62839 | 2006-10-16 |
| 1144312000 | Valerie Jill Henderson | Registered Nurse | 201 E N Avenue, Clay Medical Center, Flora, IL 62839 | 2006-09-29 |
| 1164523221 | Kimberly Ann Greenwalt | Licensed Practical Nurse | 201 E N Ave, Clay Medical Center, Flora, IL 62839 | 2006-09-25 |
| 1558879676 | Melissa Kay Laslie | Registered Nurse | 911 Stacy Burk Drive, Flora, IL 62839 | 2018-01-11 |
| Find all providers in zip 62839 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515665 | People Overcoming With Everlasting Results, Inc. | Day Training, Developmentally Disabled Services | 6400 W Main St Ste 1f-3, Belleville, IL 62223-3806 | 2019-12-19 |
| 1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
| 1215424460 | Victor C. Neumann Association | Day Training, Developmentally Disabled Services | 4434 W Diversey Ave, Chicago, IL 60639-1939 | 2018-04-13 |
| 1194212399 | Victor C Neumann Association | Day Training, Developmentally Disabled Services | 4122 N Nashville Ave, Chicago, IL 60634-1429 | 2018-04-13 |
| 1952825770 | Help At Home, LLC | Day Training, Developmentally Disabled Services | 1 N State St Ste 800, Chicago, IL 60602-3312 | 2017-08-02 |
| 1316478878 | Kathryn Elaine Miller Rose | Day Training, Developmentally Disabled Services | 1207 Lakeside Ln, Mahomet, IL 61853-9767 | 2017-03-25 |
| 1063943645 | Lf Walls Corp | Day Training, Developmentally Disabled Services | 1404 Fox Hound Trl, Beecher, IL 60401-5106 | 2017-03-24 |
| 1285186254 | Dorr-wood Ltd | Day Training, Developmentally Disabled Services | 1001 Rail Dr, Woodstock, IL 60098-9411 | 2016-10-26 |
| 1558818930 | Autismchicago | Day Training, Developmentally Disabled Services | 8035 S Wabash Ave, Chicago, IL 60619-3516 | 2016-09-02 |
| 1518411594 | Transitions of Western Illinois | Day Training, Developmentally Disabled Services | 631 N 48th St, Quincy, IL 62305-7918 | 2016-08-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.