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CLEARBROOK WEST NPI 1235482381


NPI Information

NPI: 1235482381
Provider Name: CLEARBROOK WEST
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 14D2204907

Address:
1835 W CENTRAL RD
ARLINGTON HEIGHTS, IL
ZIP 60005
Phone: (847) 870-7711
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CLEARBROOK WEST is an intermediate care facility mentally retarded in Arlington Heights, IL. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. CLEARBROOK WEST NPI is 1235482381. The provider is registered as an organization entity type.

The provider's business location address is:

1835 W CENTRAL RD
ARLINGTON HEIGHTS, IL
ZIP 60005-410
Phone: (847) 870-7711
Fax: (847) 870-9926

The provider's authorized official is Joan Kearney .
The authorized official title is Vp Finance and has the following contact phone number (847) 870-7711.

The CLIA number assigned to this NPI record is 14D2204907 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2012 and was last updated on 10/25/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally Retarded2067033ILLINOISYes

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: 11/14/2023

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