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CALUMET CITY TERRACE
NPI 1215100896
Intermediate Care Facility, Intellectual Disabilities in Calumet City, IL

Active since April 04, 2008
1380 RIVER DRIVE, CALUMET CITY, IL 60409(708) 730-3312(708) 730-1584 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Calumet City Terrace NPPES

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

CALUMET CITY TERRACE (NPI 1215100896) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Calumet City, Illinois and active in the NPI registry since April 2008. The organization lists Ronald J Wilson, Authorized Agent, as its authorized official.

NPPES Registry Identity

NPI1215100896
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePIONEER CONCEPTS INC
Location Address1380 RIVER DRIVECalumet City, IL 60409-5619
Mailing Address285 South Farnham StreetGalesburg, IL 61401-5323 · (309) 343-1550 · Fax (309) 343-6318
Phone(708) 730-3312
Fax(708) 730-1584
Organization SubpartYes
Authorized OfficialRonald J WilsonAuthorized Agent · (309) 343-1550
Enumeration DateApril 4, 2008
Last NPPES UpdateApril 20, 2008
✔ NPI 1215100896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in IL · 43190
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

1380 RIVER DRIVE, Calumet City, IL 60409
Open in Google Maps ↗

Other Names 1

Doing Business AsCalumet City Terrace

Other Identifiers 1

Medicaid=========002IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2272112

Calumet City Sd 155 · Calumet City, IL
Active · expires Nov 14, 2026
CLIA Number14D2272112
Laboratory TypeSchool/Student Health Service
Certificate Effective DateNovember 15, 2024
Certificate Expiration DateNovember 14, 2026
Laboratory DirectorJoseph H. Zotto
Laboratory Phone(708) 867-7665
Laboratory LocationCalumet City Sd 155540 Superior Ave, Calumet City, IL 60409
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is PIONEER CONCEPTS INC's NPI number?

The NPI number assigned to this healthcare provider is 1215100896, enumerated as an "organization" on April 04, 2008.

Where is the provider located?

The provider is located at 1380 RIVER DRIVE CALUMET CITY, IL 60409 and the phone number is (708) 730-3312.

What is the provider's specialty?

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

What insurance does PIONEER CONCEPTS INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.