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ANDOVER
NPI 1689837189
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Peoria, IL

Active since July 03, 2008
4636 W ANDOVER DR, PEORIA, IL 61615(309) 691-3800(309) 689-3613 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andover NPPES

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

ANDOVER (NPI 1689837189) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Peoria, Illinois and active in the NPI registry since July 2008. The organization lists Cindy Fletcher, Vp Accounting, as its authorized official.

NPPES Registry Identity

NPI1689837189
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePEORIA ASSOCIATION FOR RETARDED CITIZENS INC
Location Address4636 W ANDOVER DRPeoria, IL 61615-2818
Mailing Address1913 W Townline Rd, Po Box 3418Peoria, IL 61615-1621 · (309) 691-3800 · Fax (309) 689-3613
Phone(309) 691-3800
Fax(309) 689-3613
Organization SubpartNo
Authorized OfficialCindy FletcherVp Accounting · (309) 691-3800
Enumeration DateJuly 3, 2008
✔ NPI 1689837189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
4636 W ANDOVER DR, Peoria, IL 61615
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Other Names 1

Other NameAndover

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 Peoria Association For Retarded Citizens Inc's NPI number?

The NPI number for Peoria Association For Retarded Citizens Inc is 1689837189. It was assigned to this organization in the NPPES registry on July 3, 2008. The provider is also known as Andover.

Where is Peoria Association For Retarded Citizens Inc located?

Peoria Association For Retarded Citizens Inc is located at 4636 W Andover Dr, Peoria, IL 61615. The listed phone number is (309) 691-3800.

What is Peoria Association For Retarded Citizens Inc'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 Peoria Association For Retarded Citizens Inc was last updated on July 3, 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.