GARDEN CENTER SERVICES NPI 1053775296

NPI Information

NPI: 1053775296
Provider Name: GARDEN CENTER SERVICES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 14D2198251

Address:
8333 AUSTIN AVE
BURBANK, IL
ZIP 60459
Phone: (708) 636-0054
Get Directions

GARDEN CENTER SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Burbank, 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. GARDEN CENTER SERVICES NPI is 1053775296. The provider is registered as an organization entity type.

The provider's business location address is:

8333 AUSTIN AVE
BURBANK, IL
ZIP 60459-558
Phone: (708) 636-0054
Fax: (708) 636-7955

The provider's authorized official is Gerard S. Beagles .
The authorized official title is Executive Director and has the following contact phone number (708) 560-4400.

The CLIA number assigned to this NPI record is 14D2198251 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2016 and was last updated on 4/13/2016.

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	Primary
1	251B00000X	Case Management	No
2	251C00000X	Day Training, Developmentally Disabled Services	No
3	251S00000X	Community/Behavioral Health	No
4	253Z00000X	In Home Supportive Care	No
5	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	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: 5/5/2024

NPI Synchronization or Removal

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