Organization
ST. JOHN'S HEALING COMMUNITY BOARD
Active
Other names
St. John's Home & Community Care
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J. BERRY MHA (EXECUTIVE DIRECTOR)
(618) 344-5008
Entity
Organization
Contact information
Practice address
222 GOETHE AVE, COLLINSVILLE, IL 62234-3306
(618) 344-5008
(618) 344-4969
Mailing address
222 GOETHE AVE, COLLINSVILLE, IL 62234-3306
(618) 344-5008
(618) 344-4969
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96HM00649501
DEPT. OF RHABILITATION
IL
01
—
AD001-2002-2007
DEPT. OF REHABILITATION
IL
Enumeration date
04/24/2007
Last updated
09/11/2025
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