Illinois Veterans Home At Lasalle
Residential Treatment Facility, Physical Disabilities
1015 Oconor Ave, La Salle
Illinois, 61301-1216
815-223-0303 815-223-5815
Illinois Veterans Home At Lasalle is a Residential Treatment Facility, Physical Disabilities in La Salle, Illinois. It is located at 1015 Oconor Ave, La Salle and it's customer support contact number is 815-223-0303. The authorized person of Illinois Veterans Home At Lasalle is John G. Koehler, LNHA who is Administrator of this DME and his contact number is 815-223-0303. Active license number of Illinois Veterans Home At Lasalle is 44115 for Residential Treatment Facility, Physical Disabilities in Illinois.
Illinois Veterans Home At Lasalle is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
DME Supplier Details:
Illinois Veterans Home At Lasalle type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Illinois Veterans Home At Lasalle |
| Type: | Residential Treatment Facility, Physical Disabilities |
| Location: | 1015 Oconor Ave, La Salle,
Illinois, 61301-1216 |
| Phone: | 815-223-0303 |
| Fax: | 815-223-5815 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | John G. Koehler |
| Credentials: | LNHA |
| Position: | Administrator |
| Contact Number: | 815-223-0303 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1942367453 |
| NPI Enumeration Date: | 03 Jan, 2007 |
| NPI Last Update On: | 24 May, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Illinois Veterans Home At Lasalle are as mentioned below.
| Specialization | License Number | State | Status | |
| Residential Treatment Facility, Physical Disabilities | 44115 | Illinois | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Adult Care Home | 44115 | Illinois | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 05032039 | Other | | Bcbs |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1015 Oconor Ave,
La Salle, Illinois |
| Zip: | 61301-1216 |
| Phone Number: | 217-222-9487 |
| Fax Number: | 217-222-8578 |
Patients can reach Illinois Veterans Home At Lasalle at
1015 Oconor Ave, La Salle, Illinois or can
call on customer care at 815-223-0303.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.