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PARK LAWN SCHOOL & ACTIVITY CENTER INC. NPI 1609094788


NPI Information

NPI: 1609094788
Provider Name: PARK LAWN SCHOOL & ACTIVITY CENTER, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
10833 LAPORTE AVE
OAK LAWN, IL
ZIP 60453
Phone: (708) 425-3344
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PARK LAWN SCHOOL & ACTIVITY CENTER, INC. is a day training developmentally disabled services in Oak Lawn, IL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PARK LAWN SCHOOL & ACTIVITY CENTER, INC. NPI is 1609094788. The provider is registered as an organization entity type.

The provider's business location address is:

10833 LAPORTE AVE
OAK LAWN, IL
ZIP 60453-412
Phone: (708) 425-3344
Fax: (708) 425-3530

The provider's authorized official is James R Weise .
The authorized official title is Executive Director and has the following contact phone number (708) 425-3344.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


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
1251C00000XDay Training, Developmentally Disabled ServicesNONEILLINOISYes
2315P00000XIntermediate Care Facility, Intellectual Disabilities0027078ILLINOISX
3315P00000XIntermediate Care Facility, Intellectual Disabilities0035527ILLINOISX
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities92C173ILLINOISX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10027078MEDICAIDILLINOIS
20035527MEDICAIDILLINOIS
392C172OTHERILLINOISDHS LICENSE

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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