PROVIDENCE FARM
NPI 1518790559
Substance Abuse Rehabilitation Facility in Northfield, IL
About Providence Farm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE FARM (NPI 1518790559) is a healthcare organization registered as a substance abuse rehabilitation facility in Northfield, Illinois and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Stephanie Zwilling, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2213573
Providence Farm · Northbrook, ILCertificate of Waiver 14D2309577
Providence Farm, LLC · Northbrook, ILFrequently 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 Providence Farm's NPI number?
The NPI number for Providence Farm is 1518790559. It was assigned to this organization in the NPPES registry on August 23, 2024. The provider is also known as Providence Farm Clinical Services.
Where is Providence Farm located?
Providence Farm is located at 400 Central Ave Ste 340, Northfield, IL 60093. The listed phone number is (847) 409-6230.
What is Providence Farm's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Providence Farm hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2213573) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Providence Farm was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Providence Farm · NPI 1518790559
Substance Abuse Rehabilitation Facility organization in Northfield, Illinois. Organization record, active in the CMS NPPES registry since August 23, 2024.
## Identity
- **NPI:** 1518790559 (Entity type: Organization)
- **Enumerated:** August 23, 2024
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Also known as:** Providence Farm Clinical Services (Other Name)
- **Organization subpart:** Yes (part of Providence Farm)
- **Authorized official:** Stephanie Zwilling, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 400 CENTRAL AVE STE 340, Northfield, IL 60093-3039
- **Phone:** (847) 409-6230
## Record status
- **NPPES last updated:** August 23, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1518790559) · Data from the CMS NPPES public registry.