Illinois Veterans Home At Manteno
Residential Treatment Facility, Physical Disabilities
1 Veterans Dr, Manteno
Illinois, 60950-9466
815-468-6581 815-468-7001
Illinois Veterans Home At Manteno is a Residential Treatment Facility, Physical Disabilities in Manteno, Illinois. It is located at 1 Veterans Dr, Manteno and it's customer support contact number is 815-468-6581. The authorized person of Illinois Veterans Home At Manteno is Reginald L Booker, LNHA who is Administrator of this DME and his contact number is 815-468-6581. Active license number of Illinois Veterans Home At Manteno is 0042218 for Residential Treatment Facility, Physical Disabilities in Illinois. Illinois Veterans Home At Manteno accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Illinois Veterans Home At Manteno 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 Manteno 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 Manteno |
| Type: | Residential Treatment Facility, Physical Disabilities |
| Location: | 1 Veterans Dr, Manteno,
Illinois, 60950-9466 |
| Phone: | 815-468-6581 |
| Fax: | 815-468-7001 |
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: | Reginald L Booker |
| Credentials: | LNHA |
| Position: | Administrator |
| Contact Number: | 815-468-6581 |
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: | 1831248228 |
| NPI Enumeration Date: | 09 Jan, 2007 |
| NPI Last Update On: | 15 Jul, 2010 |
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 Manteno are as mentioned below.
| Specialization | License Number | State | Status | |
| Residential Treatment Facility, Physical Disabilities | 0042218 | Illinois | Primary | |
| Adult Care Home | 0042218 | Illinois | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 04621430 | Other | | Bcbs |
Medicare Enrollment:
Illinois Veterans Home At Manteno is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1658274881 | O20040127000854 | Illinois Veterans Home At Manteno | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 1658274881 | O20110224000635 | Illinois Veterans Home At Manteno | DME SUPPLIER - NURSING FACILITY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1 Veterans Dr, Bldg A-2m
Manteno, Illinois |
| Zip: | 60950-9466 |
| Phone Number: | 217-222-9487 |
| Fax Number: | 217-222-8578 |
Patients can reach Illinois Veterans Home At Manteno at
1 Veterans Dr, Manteno, Illinois or can
call on customer care at 815-468-6581.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.