MOTHERLAND SHELTERED SERVICES INC
NPI 1386334142
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in South Holland, IL
- Organization
- Community Based Residential Treatment Fa...
About MOTHERLAND SHELTERED SERVICES INC
This page provides the complete NPI Profile along with additional information for Motherland Sheltered Services Inc, a provider established in South Holland, 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 1386334142 assigned on May 2023. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ayodeji Adegoye (President/ceo)
- NPI
- 1386334142 Verify this NPI
- Provider Name
- MOTHERLAND SHELTERED SERVICES INC
- Entity Type
- Organization
- Location Address
- 14921 PERRY AVE SOUTH HOLLAND, IL 60473
- Location Phone
- (630) 863-0722
- Mailing Address
- 2735 HASSERT BLVD, STE 135, #681 C/O AYODEJI ADEGOYE NAPERVILLE, IL 60564
- Mailing Phone
- (630) 863-0722
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-15-2023
- Last Update Date
- 05-15-2023
- 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
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386334142, enumerated as an "organization" on May 15, 2023.
The provider is located at 14921 PERRY AVE SOUTH HOLLAND, IL 60473 and the phone number is (630) 863-0722.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
