Provider Demographics
NPI:1477934339
Name:HANCOCK COUNTY SENIOR SERVICES ASSOCIATION
Entity Type:Organization
Organization Name:HANCOCK COUNTY SENIOR SERVICES ASSOCIATION
Other - Org Name:MAPLE GROVE APARTMENTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-357-8573
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:IL
Mailing Address - Zip Code:62321-0160
Mailing Address - Country:US
Mailing Address - Phone:217-357-6550
Mailing Address - Fax:217-357-6549
Practice Address - Street 1:401 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:IL
Practice Address - Zip Code:62321-1652
Practice Address - Country:US
Practice Address - Phone:217-357-6550
Practice Address - Fax:217-357-6549
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANCOCK COUNTY SENIOR SERVICES ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-16
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility