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LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI 1477904555


NPI Information

NPI: 1477904555
Provider Name: LUTHERAN SOCIAL SERVICES OF ILLINOIS

Other Name: SHADY OAKS DEVELOPMENTAL TRAINING CENTER

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
16248 S PARKER RD
HOMER GLEN, IL
ZIP 60491
Phone: (708) 301-3885
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LUTHERAN SOCIAL SERVICES OF ILLINOIS is a day training developmentally disabled services in Homer Glen, IL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI is 1477904555. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Shady Oaks Developmental Training Center.

The provider's business location address is:

16248 S PARKER RD
HOMER GLEN, IL
ZIP 60491-081
Phone: (708) 301-3885
Fax: (708) 301-1509

The provider's authorized official is Gerald Noonan .
The authorized official title is Chief Financial Officer and has the following contact phone number (847) 635-4600.

The enumeration date for this NPI number is 6/29/2016 and was last updated on 6/29/2016.


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
1101Y00000XCounselorNo
2104100000XSocial WorkerNo
3163W00000XRegistered NurseNo
4164W00000XLicensed Practical NurseNo
5225100000XPhysical TherapistNo
6225X00000XOccupational TherapistNo
7235Z00000XSpeech-Language PathologistNo
8251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1199200169COTHERILLINOISSTATE OF ILLINOIS DEPARTMENT OF HUMAN SERVICES

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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