CLAY COUNTY HORIZON CENTER — NPI 1750402582 (Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded in FLORA, IL)

CMS-1500 Box 24J / 33a • NPI

1750402582

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

315P00000X (CMS A2[9])

Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded

Box 32 Service Location & ZIP+4

501 E 12TH ST, FLORA, IL, 62839-2328

✓ 9-Digit EDI 837 ZIP+4 (62839-2328)

Practice Phone & Referral Fax

(618) 662-8494

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1750402582 (CLAY COUNTY HORIZON CENTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1750402582` (NPI-2 Organization / Facility)
Provider / Legal Name	CLAY COUNTY HORIZON CENTER
Plain-English Specialty	Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded NUCC Code: `315P00000X` (Intermediate Care Facility, Intellectual Disabilities)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	501 E 12TH ST, FLORA, IL, 62839-2328
Practice Telephone / Fax	Tel: (618) 662-8494
Administrative Mailing Address	501 E 12TH ST, FLORA, IL, 62839-2328
Enumeration & Last Sync	Enumerated: 2007-04-02 \| CMS Record Updated: 2020-08-22
Authorized Official	DAYO ADENEKAN (Administrator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

501 E 12TH ST, FLORA, IL, 62839-2328

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Plain-English Taxonomy & CMS Crosswalk (315P00000X)

What Does Taxonomy Code 315P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 315P00000X translates to:
"Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A2[9] (Intermediate Care Nursing Facility)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Intermediate Care Facility, Intellectual Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CLAY COUNTY HORIZON CENTER)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`315P00000X` — Intermediate Care Facility, Intellectual Disabilities Plain English: Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded	State: IL \| License: `0023176` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CLAY COUNTY HORIZON CENTER (NPI #1750402582)