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ROCKFORD SITE 014025
NPI 1396073565
Foster Care Agency in Loves Park, IL

Active since November 30, 2009
6701 CLINTON RD, LOVES PARK, IL 61111(815) 282-6153(815) 282-7160 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rockford Site 014025 NPPES

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

ROCKFORD SITE 014025 (NPI 1396073565) is a healthcare organization registered as a foster care agency in Loves Park, Illinois and active in the NPI registry since November 2009. The organization lists Viviane Ngwa, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396073565
Entity TypeOrganization
Primary Taxonomy253J00000X
Legal Business NameILLINOIS MENTOR
Location Address6701 CLINTON RDLoves Park, IL 61111-3863
Mailing Address6701 Clinton RdLoves Park, IL 61111-3863 · (815) 282-6153 · Fax (815) 282-7160
Phone(815) 282-6153
Fax(815) 282-7160
Organization SubpartYes
Authorized OfficialViviane NgwaExecutive Director · (708) 679-9137
Enumeration DateNovember 30, 2009
✔ NPI 1396073565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
6701 CLINTON RD, Loves Park, IL 61111
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Other Names 1

Doing Business AsRockford Site 014025

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JINGLAM LAI AMFT, MS
Marriage & Family Therapist
6701 CLINTON RD
LOVES PARK, IL 61111
Winnebago County (815) 282-6153

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 Illinois Mentor's NPI number?

The NPI number for Illinois Mentor is 1396073565. It was assigned to this organization in the NPPES registry on November 30, 2009. The provider is doing business as Rockford Site 014025.

Where is Illinois Mentor located?

Illinois Mentor is located at 6701 Clinton Rd, Loves Park, IL 61111. The listed phone number is (815) 282-6153.

What is Illinois Mentor's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

When was this NPI record last updated?

The NPPES record for Illinois Mentor was last updated on November 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.