Provider Demographics
NPI:1891156808
Name:HANCOCK COUNTY SENIOR SERVICES ASSOCIATION
Entity Type:Organization
Organization Name:HANCOCK COUNTY SENIOR SERVICES ASSOCIATION
Other - Org Name:HANCOCK COUNTY NURSING HOME ASSOCIATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-357-8566
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:217-357-8566
Mailing Address - Fax:217-357-8564
Practice Address - Street 1:402 S ADAMS ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:IL
Practice Address - Zip Code:62321-1600
Practice Address - Country:US
Practice Address - Phone:217-357-8566
Practice Address - Fax:217-357-8564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility