SULLIVAN HOUSE RESIDENTIAL CARE, INC.
NPI 1487832903
Intermediate Care Facility, Intellectual Disabilities in Ottawa, IL

Active since February 06, 2008
600 GROVER AVE, OTTAWA, IL 61350(815) 433-5858(815) 673-3231 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan House Residential Care, Inc. NPPES

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

SULLIVAN HOUSE RESIDENTIAL CARE, INC. (NPI 1487832903) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Ottawa, Illinois and active in the NPI registry since February 2008. The organization lists Ralph S Gomes, President, as its authorized official.

NPPES Registry Identity

NPI1487832903
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSULLIVAN HOUSE RESIDENTIAL CARE, INC.
Location Address600 GROVER AVEOttawa, IL 61350-4140
Mailing Address600 Grover AveOttawa, IL 61350-4140 · (815) 433-5858 · Fax (815) 673-3231
Fax(815) 673-3231
Organization SubpartNo
Authorized OfficialRalph S GomesPresident · (815) 433-5858
Enumeration DateFebruary 6, 2008
NPI 1487832903 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
License Licensed in IL · 0034140
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
600 GROVER AVE, Ottawa, IL 61350

Other Providers at the Same Location NPPES

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

Intermediate Care Facility, Intellectual Disabilities
600 GROVER AVE
OTTAWA, IL 61350

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 Sullivan House Residential Care, Inc.'s NPI number?

The NPI number for Sullivan House Residential Care, Inc. is 1487832903. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Sullivan House Residential Care, Inc. located?

Sullivan House Residential Care, Inc. is located at 600 Grover Ave, Ottawa, IL 61350. The listed phone number is (815) 433-5858.

What is Sullivan House Residential Care, 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 Sullivan House Residential Care, Inc. was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.