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Southern Illinois Community Support Services

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Baden, IL · enumerated 2015 · authorized official Michael Brave, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184091167

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois Community Support Services
Practice address 300 E Illinois St, New Baden, IL, 62265
Fax (618) 588-4673
Enumeration date Aug 26, 2015
Last updated in NPPES Aug 26, 2015

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Michael Brave
Title Cfo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-08-26. Verify at npiregistry.cms.hhs.gov.
Where is Southern Illinois Community Support Services located?
The practice location on file with NPPES is in New Baden, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-26.