Beverly Farm Foundation
NPI 1174696157 · Intellectual Disabilities Intermediate Care Facility · Godfrey, IL
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beverly Farm Foundation is a Intellectual Disabilities Intermediate Care Facility organization in Godfrey, IL (NPI 1174696157).
Provider details
- NPI number
- 1174696157
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brenda Miller, Finance Director(618) 466-0367
- License
- 0038604 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2016-08-25
Frequently asked questions
- What is Beverly Farm Foundation's NPI number?
- Beverly Farm Foundation's National Provider Identifier (NPI) is 1174696157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beverly Farm Foundation?
- Beverly Farm Foundation is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Beverly Farm Foundation located?
- Beverly Farm Foundation's practice location on file with NPPES is 6301 Humbert Rd, Godfrey, IL 62035-2163.
- What is Beverly Farm Foundation's phone number?
- The practice phone number listed in the NPPES registry for Beverly Farm Foundation is (618) 466-0367.
- Does Beverly Farm Foundation accept Medicare?
- Beverly Farm Foundation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Beverly Farm Foundation?
- The authorized official listed on Beverly Farm Foundation's NPPES record is Brenda Miller, Finance Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beverly Farm Foundation's NPI active?
- Yes — Beverly Farm Foundation's NPI (1174696157) is active in the NPPES registry as of the last update on 2016-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.