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HAZEL BLAND PROMISE CENTER
NPI 1235580564
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in East Saint Louis, IL

Active since June 28, 2016
2900 STATE ST, EAST SAINT LOUIS, IL 62205(618) 274-3500 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hazel Bland Promise Center NPPES

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

HAZEL BLAND PROMISE CENTER (NPI 1235580564) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in East Saint Louis, Illinois and active in the NPI registry since June 2016. The organization lists Vivian E. Thompson, Family Support Unit Director, as its authorized official.

NPPES Registry Identity

NPI1235580564
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameHAZEL BLAND PROMISE CENTER
Location Address2900 STATE STEast Saint Louis, IL 62205-2234
Mailing Address2900 State StEast Saint Louis, IL 62205-2234 · (618) 274-3500
Phone(618) 274-3500
Organization SubpartNo
Authorized OfficialVivian E. ThompsonFamily Support Unit Director · (618) 274-3500
Enumeration DateJune 28, 2016
✔ NPI 1235580564 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 · 199200170S
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
2900 STATE ST, East Saint Louis, IL 62205
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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 Hazel Bland Promise Center's NPI number?

The NPI number for Hazel Bland Promise Center is 1235580564. It was assigned to this organization in the NPPES registry on June 28, 2016.

Where is Hazel Bland Promise Center located?

Hazel Bland Promise Center is located at 2900 State St, East Saint Louis, IL 62205. The listed phone number is (618) 274-3500.

What is Hazel Bland Promise Center'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 Hazel Bland Promise Center was last updated on June 28, 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.