DISABILITY SERVICES OF ILLINOIS NFP
NPI 1477919546
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chicago Heights, IL
- 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
- 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 | 251B00000X | Agencies | Case Management | |
| 2 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
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.