ACHIEVEMENT UNLIMITED INC
NPI 1184896532
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Galesburg, IL
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 14D0945001
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 04-22-2028
About ACHIEVEMENT UNLIMITED INC
This page provides the complete NPI Profile along with additional information for Achievement Unlimited Inc, a provider established in Galesburg, Illinois operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1184896532 assigned on March 2008. The practitioner's primary taxonomy code is 320900000X with license number 199800002S (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Ronald J Wilson (Authorized Agent)
- NPI
- 1184896532 Verify this NPI
- Provider Name
- ACHIEVEMENT UNLIMITED INC
- Entity Type
- Organization
- Location Address
- 285 SOUTH FARNHAM STREET GALESBURG, IL 61401
- Location Phone
- (309) 343-1550
- Location Fax
- (309) 343-6318
- Mailing Address
- 285 SOUTH FARNHAM STREET GALESBURG, IL 61401
- Mailing Phone
- (309) 343-1550
- Mailing Fax
- (309) 343-6318
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-26-2008
- Last Update Date
- 12-21-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- 199800002S
- License State
- IL
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0945001
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- April 23, 2026
- Certificate Expiration Date
- April 22, 2028
- Laboratory Director
- CHRIS HELFRICH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Achievement Unlimited Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184896532, enumerated as an "organization" on March 26, 2008.
The provider is located at 285 SOUTH FARNHAM STREET GALESBURG, IL 61401 and the phone number is (309) 343-1550.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
