DORR-WOOD LTD. NPI 1033396247

NPI Information

NPI: 1033396247
Provider Name: DORR-WOOD LTD.

Former Legal Business Name: SHELTERED VILLAGE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 14D2201307

Address:
600 BORDEN ST
WOODSTOCK, IL
ZIP 60098
Phone: (815) 338-6440
Get Directions

DORR-WOOD LTD. is an intermediate care facility mentally retarded in Woodstock, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DORR-WOOD LTD. NPI is 1033396247. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Sheltered Village.

The provider's business location address is:

600 BORDEN ST
WOODSTOCK, IL
ZIP 60098-137
Phone: (815) 338-6440
Fax: (815) 338-0124

The provider's authorized official is Robert Morris .
The authorized official title is Administrator and has the following contact phone number (815) 338-6440.

The CLIA number assigned to this NPI record is 14D2201307 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2008 and was last updated on 1/30/2008.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		1725477	ILLINOIS	Yes

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: 4/28/2024

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