PROVIDENCE FARM NPI 1518790559

NPI Information

  • NPI: 1518790559
  • Provider Name: PROVIDENCE FARM
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 14D2309577
  • Address: 400 CENTRAL AVE STE 340
    NORTHFIELD, IL
    ZIP 60093
  • Phone: (847) 409-6230

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NPI Details

PROVIDENCE FARM is a substance abuse rehabilitation facility in Northfield, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PROVIDENCE FARM NPI is 1518790559. The provider is registered as an organization entity type.

The provider's business location address is:

400 CENTRAL AVE STE 340
NORTHFIELD, IL
ZIP 60093-039
Phone: (847) 409-6230

The provider's authorized official is Stephanie Zwilling .
The authorized official title is Executive Director and has the following contact phone number (847) 409-6230.

The CLIA number assigned to this NPI record is 14D2309577 - other - transitional living sober with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2024 and was last updated on 8/23/2024.

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
1251S00000XCommunity/Behavioral HealthNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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