MULBERRY MANOR, INC.


Address: 612 E Davie, Anna, IL 62906-0088
Phone: 6188336012

MULBERRY MANOR, INC. (NPI# 1164646550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164646550
Entity Type Organization
Organization Name MULBERRY MANOR, INC.
Practice Address 612 E Davie
Anna
IL 62906-0088
Mailing Address Po Box 88
Anna
IL 62906-0088
Practice Telephone 6188336012
Mailing Telephone 6188336012
Enumeration Date 2007-04-13
Last Update Date 2020-08-22
Authorized Official Name JOANN KELLER (ADMINISTRATOR)
Authorized Official Telephone 6188336012
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities IL Residential Treatment Facilities

Office Location

Street Address 612 E DAVIE
City ANNA
State IL
Zip Code 62906-0088

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265711600 Community Integrated Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 110 Jeni Lane, Anna, IL 62906 2011-08-16
1508153768 Union County Counseling Services Inc Clinic/Center 202 South St, Anna, IL 62906 2011-07-07
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1063709228 Union County Counseling Services Inc Community Based Residential Treatment Facility, Mental Illness 311 W Vienna St, Anna, IL 62906 2011-07-07
1598920928 Steven Wayne Vincent Dentist 131 West Vienna Street, Anna, IL 62906 2008-07-24
1427236900 Cardinal House Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 200 Douglas Street, Anna, IL 62906 2008-02-06
1992913719 High Chiropractic Center Chiropractor 35 Walton Lane, Anna, IL 62906 2007-05-18
1023235678 Chuck C. Bugle Psychologist 311 W. Spring St., Anna, IL 62906 2007-04-18
1922194604 Nancy Kay Webb Physical Therapist 515 E Vienna Street, Suite I, Anna, IL 62906 2006-10-04
1144242918 William W Mings Psychiatry & Neurology 204 South St, Anna, IL 62906 2006-07-24
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952524217 Holly Hill Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 203 Lafayette St, Anna, IL 62906-1545 2007-04-11
1821211137 New Way, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 80 Knupp School Ln, Anna, IL 62906-3448 2007-04-11
1063544823 Unit 4463 Cypress Hall Lower Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1000 N Main St, Anna, IL 62906-1652 2007-03-09
1437281292 Unit 4466 Sycamore Hall Upper Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1000 N Main St, Anna, IL 62906-1652 2007-03-09
1104958966 Unit 4464 Cypress Hall Upper Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1000 N Main St, Anna, IL 62906-1652 2007-03-09
1154453991 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1000 N Main St, Anna, IL 62906-1652 2007-03-09
1043342892 Unit 4462 Cedar Hall Upper Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1000 N Main St, Anna, IL 62906-1652 2007-03-09
1710019575 Unit 4465 Sycamore Hall Lower Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1000 N Main St, Anna, IL 62906-1652 2007-03-09
1457483240 Unit 4467 Cottage Complex Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1000 N Main St, Anna, IL 62906-1652 2007-03-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689218273 Dymond Homes LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4223 S Prairie Ave, Chicago, IL 60653-3211 2019-11-06
1447782396 Light of Hope Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 22858 Millard Ave, Richton Park, IL 60471-2531 2017-03-30
1760831945 Nucare Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 18118 Orleans Dr, Hazel Crest, IL 60429-2242 2016-06-08
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1003262254 Patterson House Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 717 E 1st South St, Carlinville, IL 62626-1922 2016-05-06
1235592288 Ray Graham Association Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 901 Warrenville Rd, Suite 500, Lisle, IL 60532-4301 2016-03-29
1962867796 Pioneer Center for Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1315 N Curran Rd, Mchenry, IL 60050-6520 2015-12-21
1942675228 Pioneer Center for Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 701 N Hart St, Harvard, IL 60033-2227 2015-12-11
1518332881 Pioneer Center for Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 851 W Main St, Cary, IL 60013-1920 2015-12-11
1083089361 Pioneer Center for Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 455 Huntley Rd, Crystal Lake, IL 60014-5318 2015-12-11
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Competitor

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City ANNA
Zip Code 62906

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Dataset Information

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.

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