Provider Type Icon

MOUNT ST JOSEPH NPI 1033219803


NPI Information

NPI: 1033219803
Provider Name: MOUNT ST JOSEPH
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 14D0920985

Address:
24955 N HIGHWAY 12
LAKE ZURICH, IL
ZIP 60047
Phone: (847) 438-5050
Get Directions

MOUNT ST JOSEPH is a residential treatment facility, intellectual and/or developmental disabilities in Lake Zurich, IL. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. MOUNT ST JOSEPH NPI is 1033219803. The provider is registered as an organization entity type.

The provider's business location address is:

24955 N HIGHWAY 12
LAKE ZURICH, IL
ZIP 60047
Phone: (847) 438-5050
Fax: (847) 719-1060

The provider's authorized official is Charleen Badiola .
The authorized official title is Administrator/director and has the following contact phone number (847) 438-5050.

The CLIA number assigned to this NPI record is 14D0920985 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 5/14/2020.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities0005520ILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.