PREVENTIVE DEVELOPMENT DISABILITY AND HEALTH SERVICES LLC
NPI 1245112978
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Montgomery, IL

Q: What is Preventive Development Disability And Health Services LLC's specialty?

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

Active since July 23, 2025

2481 MAYFIELD DR, MONTGOMERY, IL 60538(331) 250-2492 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Preventive Development Disability And Health Services Llc NPPES

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

PREVENTIVE DEVELOPMENT DISABILITY AND HEALTH SERVICES LLC (NPI 1245112978) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Montgomery, Illinois and active in the NPI registry since July 2025. The organization lists Constance Etengeneng Ngassa, President - Director, as its authorized official.

NPPES Registry Identity

NPI1245112978

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NamePREVENTIVE DEVELOPMENT DISABILITY AND HEALTH SERVICES LLC

Location Address2481 MAYFIELD DRMontgomery, IL 60538-5057

Mailing Address2481 Mayfield DrMontgomery, IL 60538-5057 · (331) 250-2492

Phone(331) 250-2492

Organization SubpartNo

Authorized OfficialConstance Etengeneng NgassaPresident - Director · (331) 250-2492

Enumeration DateJuly 23, 2025

NPPES CertifiedJuly 23, 2025

✔ NPI 1245112978 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

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

2481 MAYFIELD DR, Montgomery, IL 60538

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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 Preventive Development Disability And Health Services LLC's NPI number?

The NPI number for Preventive Development Disability And Health Services LLC is 1245112978. It was assigned to this organization in the NPPES registry on July 23, 2025.

Where is Preventive Development Disability And Health Services LLC located?

Preventive Development Disability And Health Services LLC is located at 2481 Mayfield Dr, Montgomery, IL 60538. The listed phone number is (331) 250-2492.

What is Preventive Development Disability And Health Services LLC'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 Preventive Development Disability And Health Services LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.