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LASHAE CAMPBELL
NPI 1629531561
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bolingbrook, IL

Active since April 08, 2019
3 WILDWOOD LANE G, BOLINGBROOK, IL 60440(708) 916-1128 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lashae Campbell NPPES

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

LASHAE CAMPBELL (NPI 1629531561) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Bolingbrook, Illinois and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1629531561
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameLASHAE CAMPBELL
Location Address3 WILDWOOD LANE GBolingbrook, IL 60440-1942
Mailing Address3 Wildwood Lane GBolingbrook, IL 60440-1942 · (708) 916-1128
Phone(708) 916-1128
Sole ProprietorYes
Enumeration DateApril 8, 2019
✔ NPI 1629531561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3 WILDWOOD LANE G, Bolingbrook, IL 60440
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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 Lashae Campbell's NPI number?

The NPI number for Lashae Campbell is 1629531561. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Lashae Campbell located?

Lashae Campbell practices at 3 Wildwood Lane G, Bolingbrook, IL 60440. The listed phone number is (708) 916-1128.

What is Lashae Campbell's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Lashae Campbell was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.