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OTTAWA FRIENDSHIP HOUSE
NPI 1023466489
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ottawa, IL

Active since May 26, 2016
810 W MAIN ST, OTTAWA, IL 61350(815) 324-5049 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ottawa Friendship House NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTTAWA FRIENDSHIP HOUSE (NPI 1023466489) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Ottawa, Illinois and active in the NPI registry since May 2016. The organization lists Beth Mangold, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023466489
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameOTTAWA FRIENDSHIP HOUSE
Location Address810 W MAIN STOttawa, IL 61350-2679
Mailing Address1718 N 2525th RdOttawa, IL 61350-9329 · (815) 434-0737 · Fax (815) 434-0493
Phone(815) 324-5049
Organization SubpartNo
Authorized OfficialBeth MangoldExecutive Director · (815) 434-0737
Enumeration DateMay 26, 2016
✔ NPI 1023466489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in IL · 201600004S
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
810 W MAIN ST, Ottawa, IL 61350
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ottawa Friendship House's NPI number?

The NPI number for Ottawa Friendship House is 1023466489. It was assigned to this organization in the NPPES registry on May 26, 2016.

Where is Ottawa Friendship House located?

Ottawa Friendship House is located at 810 W Main St, Ottawa, IL 61350. The listed phone number is (815) 324-5049.

What is Ottawa Friendship House's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Ottawa Friendship House was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.