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Active NPI 1174356471 Organization (Entity Type 2)

Comwell

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities • Sparta, IL

About Comwell NPI 1174356471 Summary

Comwell is a verified healthcare organization specializing in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities operating in Sparta, IL. Located at 207 N JAMES ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1174356471.

Administrative operations and authorized compliance are overseen by Ashley Renner (Billing/Credentialing).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

207 N James St

Sparta, IL 622861213

Telephone 6182826233

Authorized Official Information

Authorized Contact Name

Ashley Renner , AM

Title / Role

Billing/credentialing

Official Telephone

6182826233

Facility Classifications & Specialties

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Taxonomy

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked
Dawn Schulte , LCSW NPI 1134721624

Social Worker - Clinical

Waterloo, IL

View Practitioner Profile →
Nickie Murphy , APRN NPI 1609316710

Nurse Practitioner - Family

Sparta, IL

View Practitioner Profile →

Nurse Practitioner - Family

Coulterville, IL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active August 22, 2024

NPI status registered as active in NPPES database

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Updated Practice Location August 22, 2024

Registered at 207 N JAMES ST, SPARTA, IL 622861213 (Tel: 6182826233)

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Updated Business Mailing Address August 22, 2024

Registered at 10257 STATE ROUTE 3, RED BUD, IL 622784418 (Tel: 6182826233)

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Organization / Clinic Name Updated August 22, 2024

Operating as COMWELL

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2024

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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Initial NPI Registration & Enumeration August 22, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1174356471
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 22, 2024
Last Update: August 22, 2024

Mailing Address

10257 State Route 3

Red Bud, IL 622784418

Phone: 6182826233

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.