DEVELOPMENTAL PLANNING & SERVICES INC NPI 1669524401

NPI Information

NPI: 1669524401
Provider Name: DEVELOPMENTAL PLANNING & SERVICES INC

Doing Business As: OAK TERRACE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
4219 LINCOLNSHIRE DR
MOUNT VERNON, IL
ZIP 62864
Phone: (618) 242-2117
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DEVELOPMENTAL PLANNING & SERVICES INC is an intermediate care facility mentally retarded in Mount Vernon, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. DEVELOPMENTAL PLANNING & SERVICES INC NPI is 1669524401. The provider is registered as an organization entity type.
The provider Is Doing Business As Oak Terrace.

The provider's business location address is:

4219 LINCOLNSHIRE DR
MOUNT VERNON, IL
ZIP 62864-157
Phone: (618) 242-2117
Fax: (618) 242-9770

The provider's authorized official is Dennis K Headlee .
The authorized official title is President and has the following contact phone number (618) 244-7701.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 11/17/2008.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		0030866	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6006803	OTHER	ILLINOIS	FACILITY ID
2	0030866	OTHER	ILLINOIS	LG TERM CARE ICF DD 16
3	14G108	OTHER	ILLINOIS	PROVIDER IDENTIFICATION #

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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