GLEN BROOK
NPI 1629292081
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Vienna, IL

Q: What is Glen Brook's NPI number?

The NPI number for Glen Brook is 1629292081. It was assigned to this organization in the NPPES registry on April 13, 2007.

Q: What is Glen Brook's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Brook was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 13, 2007

801 NORTH 1ST STREET, VIENNA, IL 62995(618) 658-2005 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Glen Brook NPPES

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

GLEN BROOK (NPI 1629292081) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Vienna, Illinois and active in the NPI registry since April 2007. The organization lists James Keller, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629292081

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameGLEN BROOK

Location Address801 NORTH 1ST STREETVienna, IL 62995-1544

Mailing Address801 North 1st StreetVienna, IL 62995-1544 · (618) 658-2005

Phone(618) 658-2005

Organization SubpartNo

Authorized OfficialJames KellerAdministrator · (618) 833-5070

Enumeration DateApril 13, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1629292081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

801 NORTH 1ST STREET, Vienna, IL 62995

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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 Glen Brook's NPI number?

The NPI number for Glen Brook is 1629292081. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Glen Brook located?

Glen Brook is located at 801 North 1st Street, Vienna, IL 62995. The listed phone number is (618) 658-2005.

What is Glen Brook's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Glen Brook was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.