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VINTAGE SUPPORT GROUP, INC.
NPI 1518337245
Day Training, Developmentally Disabled Services in Belleville, IL

Active since October 07, 2015
900 ROYAL HEIGHTS RD, BELLEVILLE, IL 62226(618) 277-4100 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vintage Support Group, Inc. NPPES

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

VINTAGE SUPPORT GROUP, INC. (NPI 1518337245) is a healthcare organization registered as a day training, developmentally disabled services in Belleville, Illinois and active in the NPI registry since October 2015. The organization lists David Jaques, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1518337245
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameVINTAGE SUPPORT GROUP, INC.
Location Address900 ROYAL HEIGHTS RDBelleville, IL 62226-5457
Mailing Address900 Royal Heights RdBelleville, IL 62226-5457 · (618) 277-4100
Phone(618) 277-4100
Organization SubpartNo
Authorized OfficialDavid JaquesPresident/ceo · (616) 277-4100
Enumeration DateOctober 7, 2015
✔ NPI 1518337245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
900 ROYAL HEIGHTS RD, Belleville, IL 62226
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Other Providers at the Same Location NPPES 20

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

CYNTHIA THERESE IZZO MSW
Social Worker
900 ROYAL HEIGHTS RD
BELLEVILLE, IL 62226
St. Clair County (708) 254-1720
MATTHEW STEVEN ADAMS LPC
Counselor (Mental Health)
900 ROYAL HEIGHTS RD
BELLEVILLE, IL 62226
St. Clair County (618) 660-6593
ALICE KENALE CAMPBELL LPN
Licensed Practical Nurse
900 ROYAL HEIGHTS RD
BELLEVILLE, IL 62226
St. Clair County (618) 882-6805
SARAH MARIE BOCOCK M.S.
Behavior Analyst
900 ROYAL HEIGHTS RD
BELLEVILLE, IL 62226
St. Clair County (618) 316-4340
DUANE GILL
Counselor (Mental Health)
900 ROYAL HEIGHTS RD
BELLEVILLE, IL 62226
St. Clair County (618) 744-7264
STEPHANIE MINER
Case Manager/Care Coordinator
900 ROYAL HEIGHTS RD
BELLEVILLE, IL 62226
St. Clair County (618) 688-1171
MISS ELLISHA DAVIS
Counselor (Professional)
900 ROYAL HEIGHTS RD
BELLEVILLE, IL 62226
St. Clair County (618) 394-5900
LISA NICOLE NEWGENT LCPC
Counselor (Professional)
900 ROYAL HEIGHTS RD
BELLEVILLE, IL 62226
St. Clair County (618) 688-1150

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 Vintage Support Group, Inc.'s NPI number?

The NPI number for Vintage Support Group, Inc. is 1518337245. It was assigned to this organization in the NPPES registry on October 7, 2015.

Where is Vintage Support Group, Inc. located?

Vintage Support Group, Inc. is located at 900 Royal Heights Rd, Belleville, IL 62226. The listed phone number is (618) 277-4100.

What is Vintage Support Group, Inc.'s specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Vintage Support Group, Inc. was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.