RESIDENTIAL OPTIONS INC. NPI 1104111293

NPI Information

NPI: 1104111293
Provider Name: RESIDENTIAL OPTIONS, INC.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
910 ESIC DR
EDWARDSVILLE, IL
ZIP 62025
Phone: (618) 692-1906
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RESIDENTIAL OPTIONS, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Edwardsville, 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. RESIDENTIAL OPTIONS, INC. NPI is 1104111293. The provider is registered as an organization entity type.

The provider's business location address is:

910 ESIC DR
EDWARDSVILLE, IL
ZIP 62025-812
Phone: (618) 692-1906
Fax: (618) 692-9522

The provider's authorized official is Diane Tebbe .
The authorized official title is Vice President and has the following contact phone number (618) 465-0044.

The enumeration date for this NPI number is 6/16/2011 and was last updated on 11/1/2017.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	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: 4/28/2024

NPI Synchronization or Removal

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