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ACHIEVEMENT UNLIMITED INC NPI 1184896532


NPI Information

NPI: 1184896532
Provider Name: ACHIEVEMENT UNLIMITED INC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 14D0945001

Address:
285 SOUTH FARNHAM STREET
GALESBURG, IL
ZIP 61401
Phone: (309) 343-1550
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ACHIEVEMENT UNLIMITED INC is a community based residential treatment facility, intellectual and/or developmental disabilities in Galesburg, IL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. ACHIEVEMENT UNLIMITED INC NPI is 1184896532. The provider is registered as an organization entity type.

The provider's business location address is:

285 SOUTH FARNHAM STREET
GALESBURG, IL
ZIP 61401-323
Phone: (309) 343-1550
Fax: (309) 343-6318

The provider's authorized official is Ronald J Wilson .
The authorized official title is Authorized Agent and has the following contact phone number (309) 343-1550.

The CLIA number assigned to this NPI record is 14D0945001 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2008 and was last updated on 12/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities199800002SILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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