OrganizationActive
Hickory Estates
NPI 1013182807 · Intellectual Disabilities Intermediate Care Facility · Sumner, IL
Provider details
- NPI number
- 1013182807
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Narish, Administrator(618) 936-2004
- License
- 0030510 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
310 Otha Street
Sumner, IL 62466-0164
Phone: (618) 936-2004
Fax: (618) 936-2556
Approximate (ZIP-level) locationGet directions
Mailing address
310 Otha Street
Sumner, IL 62466
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.