FAYCO ENTERPRISES INC (NPI# 1811003551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811003551 |
Entity Type | Organization |
Organization Name | FAYCO ENTERPRISES INC |
Practice Address |
1313 Sunset Drive Vandalia IL 62471 |
Mailing Address |
Po Box 277 1313 Sunset Drive Vandalia IL 62471 |
Practice Telephone | 6182830638 |
Practice Fax Number | 6182833892 |
Mailing Telephone | 6182830638 |
Mailing Fax Number | 6182833892 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. C ROBERTO LINDBERG (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6182830638 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
X | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
X | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
Street Address |
1313 SUNSET DRIVE |
City | VANDALIA |
State | IL |
Zip Code | 62471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083924740 | Micah Brasel | Optometrist | 300 W Randolph, Vandalia, IL 62471 | 2010-10-15 |
1154635332 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 300 West Randolph, Vandalia, IL 62471 | 2010-07-30 |
1972771699 | Community Resource Center | Community Based Residential Treatment Facility, Mental Illness | 423 W Main, Vandalia, IL 62471 | 2008-02-15 |
1952429078 | Julie M Gordon | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-27 |
1033200183 | Penny Attaway | Nurse Practitioner | 1404 N 5th Street, Vandalia, IL 62471 | 2006-09-27 |
1588773089 | Pain Relief Center of Vandalia Inc | Chiropractor | 100 N Kennedy Blvd, Vandalia, IL 62471 | 2006-08-29 |
1174585384 | Vandalia Physical Therapy Ltd | Physical Therapist | 126 S. 1st St., Vandalia, IL 62471 | 2006-04-04 |
1548221799 | Arkom Chulamorkodt | Family Medicine | 606 W Jackson St, Vandalia, IL 62471 | 2006-03-29 |
1568581163 | Ashley Hadowsky | Physical Therapist | 126 S. First Street, Vandalia, IL 62471 | 2007-03-28 |
1497868772 | Fayette County Hospital District | Skilled Nursing Facility | 650 W Taylor St, Vandalia, IL 62471 | 2006-08-17 |
Find all providers in zip 62471 |
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.