OrganizationActive
Beverly Farm Foundation
NPI 1710051545 · Intellectual Disabilities Intermediate Care Facility · Godfrey, IL
Provider details
- NPI number
- 1710051545
- 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
- 0037614 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
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
302 Bachman Ln
Godfrey, IL 62035-2123
Phone: (618) 466-0367
Fax: (618) 466-3652
Street-level locationGet directions
Mailing address
6301 Humbert Rd
Godfrey, IL 62035-2163
Registry dates
- Enumerated
- 2006-11-20
- Last updated
- 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.