DISABILITY SERVICES OF ILLINOIS NFP
NPI 1477919546
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chicago Heights, IL

Active since January 05, 2016
286 E 16TH ST, CHICAGO HEIGHTS, IL 60411(708) 753-1670(708) 753-1679 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Based Residential Treatment Fa...

About DISABILITY SERVICES OF ILLINOIS NFP

This page provides the complete NPI Profile along with additional information for Disability Services Of Illinois Nfp, a provider established in Chicago Heights, 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 1477919546 assigned on January 2016. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mr. Reuben F Goodwin Sr. (Executive Director)

NPI
1477919546 Verify this NPI
Provider Name
DISABILITY SERVICES OF ILLINOIS NFP
Entity Type
Organization
Location Address
286 E 16TH ST CHICAGO HEIGHTS, IL 60411
Location Phone
(708) 753-1670
Location Fax
(708) 753-1679
Mailing Address
PO BOX 351 MATTESON, IL 60443
Mailing Phone
(708) 753-1670
Mailing Fax
(708) 753-1679
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2016
Last Update Date
01-05-2016
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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)
1251B00000XAgencies

Case Management

 
2251C00000XAgencies

Day Training, Developmentally Disabled Services

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. REUBEN F GOODWIN SR.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(708) 753-1670

Reviews for DISABILITY SERVICES OF ILLINOIS NFP

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Day Training, Developmentally Disabled Services
286 E 16TH ST
CHICAGO HEIGHTS, IL 60411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477919546, enumerated as an "organization" on January 05, 2016.

The provider is located at 286 E 16TH ST CHICAGO HEIGHTS, IL 60411 and the phone number is (708) 753-1670.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.