SULLIVAN HOUSE
NPI 1477958528
Intermediate Care Facility, Intellectual Disabilities in Ottawa, IL

Q: What is Ottawa Friendship House Work Activity Center, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since October 31, 2014

600 GROVER AVE, OTTAWA, IL 61350(815) 433-5858 Get Directions Write a Review

NPPES record last updated: October 31, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sullivan House NPPES

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

SULLIVAN HOUSE (NPI 1477958528) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ottawa, Illinois and active in the NPI registry since October 2014. The organization lists Beth Ann Mangold, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477958528

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameOTTAWA FRIENDSHIP HOUSE WORK ACTIVITY CENTER, INC

Location Address600 GROVER AVEOttawa, IL 61350-4140

Mailing Address1718 N 2525th RdOttawa, IL 61350-9329 · (815) 434-0737 · Fax (815) 434-0493

Phone(815) 433-5858

Organization SubpartNo

Authorized OfficialBeth Ann MangoldExecutive Director · (815) 434-0737

Enumeration DateOctober 31, 2014

✔ NPI 1477958528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

600 GROVER AVE, Ottawa, IL 61350

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Other Names 1

Doing Business AsSullivan House

Other Identifiers 1

Medicaid14G117IL

Other Providers at the Same Location NPPES

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

SULLIVAN HOUSE RESIDENTIAL CARE, INC.

Intermediate Care Facility, Intellectual Disabilities

600 GROVER AVE
OTTAWA, IL 61350

Lasalle County (815) 433-5858

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 Ottawa Friendship House Work Activity Center, Inc's NPI number?

The NPI number for Ottawa Friendship House Work Activity Center, Inc is 1477958528. It was assigned to this organization in the NPPES registry on October 31, 2014. The provider is doing business as Sullivan House.

Where is Ottawa Friendship House Work Activity Center, Inc located?

Ottawa Friendship House Work Activity Center, Inc is located at 600 Grover Ave, Ottawa, IL 61350. The listed phone number is (815) 433-5858.

What is Ottawa Friendship House Work Activity Center, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Ottawa Friendship House Work Activity Center, Inc was last updated on October 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.