Provider Demographics
NPI:1952652349
Name:HEALTH CARE MANAGEMENT CORPORATION
Entity Type:Organization
Organization Name:HEALTH CARE MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMBRUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-548-0309
Mailing Address - Street 1:122 N HOTZE RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IL
Mailing Address - Zip Code:62881-5237
Mailing Address - Country:US
Mailing Address - Phone:618-548-0309
Mailing Address - Fax:618-548-3720
Practice Address - Street 1:408 E 4TH ST
Practice Address - Street 2:ROSEWOOD ESTATES
Practice Address - City:FLORA
Practice Address - State:IL
Practice Address - Zip Code:62839
Practice Address - Country:US
Practice Address - Phone:618-662-3010
Practice Address - Fax:618-662-2522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-25
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL201200006M320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities