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THE RESIDENTIAL DEVELOPERS INC. NPI 1629196340


NPI Information

NPI: 1629196340
Provider Name: THE RESIDENTIAL DEVELOPERS, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
310 W ENZ AVE
CISSNA PARK, IL
ZIP 60924
Phone: (815) 547-2214
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THE RESIDENTIAL DEVELOPERS, INC. is an intermediate care facility mentally retarded in Cissna Park, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. THE RESIDENTIAL DEVELOPERS, INC. NPI is 1629196340. The provider is registered as an organization entity type.

The provider's business location address is:

310 W ENZ AVE
CISSNA PARK, IL
ZIP 60924-795
Phone: (815) 547-2214

The provider's authorized official is Sherry S Newton .
The authorized official title is Ceo and has the following contact phone number (217) 398-0754.

The enumeration date for this NPI number is 3/27/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1315P00000XIntermediate Care Facility, Intellectual Disabilities0035279ILLINOISYes

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

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