Udi 9 Pittsfield Manor

LBN: Unlimited Development Inc.
Udi 9 Pittsfield Manor is an health care organization with primary practice located at 610 Lowry Street , Pittsfield IL 62363-1700. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Unlimited Development Inc. can be contacted via phone (217) 285-5200, or through Wilson, Ronald J via phone (309) 343-1550.

Contact Information

Primary practice address
610 Lowry Street Pittsfield IL 62363-1700
Fax: (217) 285-5212
Website:
Authorized official contact:
Name: Wilson, Ronald J

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 47944 Illinois
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0047944 Illinois

Profile Details

NPI number 1992792147
LBN Legal business name Unlimited Development Inc.
DBA Doing business as Udi 9 Pittsfield Manor
Authorized official Wilson, Ronald J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 30th, 2009 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992792147 NPPES
Illinois MEDICAID 364560807001

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