Beverly Farm Foundation
NPI 1174696157ActiveOrganization· Intermediate Care Facility, Intellectual Disabilities· Godfrey, IL
Intermediate Care Facility, Intellectual Disabilities in Godfrey, Illinois, registered in NPPES in November 2006. The authorized official on file is Brenda E. Miller, Finance Director. Enrolled in Medicare as part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1174696157 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Aug 25, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intermediate Care Facility, Intellectual Disabilities Primary | 315P00000X | 0038604 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Mass Immunization (Roster Biller Only) (IL) |
|---|
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