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KEMMERER VILLAGE INC.
NPI 1801363551
Residential Treatment Facility, Emotionally Disturbed Children in Assumption, IL

Active since October 31, 2018CLIA 14D2209861 · Waiver
941 N. 2500 EAST ROAD, ASSUMPTION, IL 62510(217) 226-4451(217) 226-3511 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kemmerer Village Inc. NPPES

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

KEMMERER VILLAGE INC. (NPI 1801363551) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Assumption, Illinois and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through January 17, 2027 and lists Ron Little, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1801363551
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameKEMMERER VILLAGE INC.
Location Address941 N. 2500 EAST ROADAssumption, IL 62510
Mailing Address941 N. 2500 East RoadAssumption, IL 62510 · (217) 226-4451 · Fax (217) 226-3511
Phone(217) 226-4451
Fax(217) 226-3511
Organization SubpartNo
Authorized OfficialRon LittleExecutive Director · (217) 226-2116
Enumeration DateOctober 31, 2018
✔ NPI 1801363551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
941 N. 2500 EAST ROAD, Assumption, IL 62510
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Other Identifiers 1

Medicaid3B00-IPI-041IL

CLIA Laboratory Certificates CMS CLIA

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 14D2209861

Kemmerer Village · Assumption, IL
Active · expires Jan 17, 2027
CLIA Number14D2209861
Laboratory TypeChildrens Residential Trt
Certificate Effective DateJanuary 18, 2025
Certificate Expiration DateJanuary 17, 2027
Laboratory DirectorSchales L. Nagle
Laboratory Phone(217) 226-2166
Laboratory LocationKemmerer Village941 N 2500 East Rd, Assumption, IL 62510
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kemmerer Village Inc.'s NPI number?

The NPI number for Kemmerer Village Inc. is 1801363551. It was assigned to this organization in the NPPES registry on October 31, 2018.

Where is Kemmerer Village Inc. located?

Kemmerer Village Inc. is located at 941 N. 2500 East Road, Assumption, IL 62510. The listed phone number is (217) 226-4451.

What is Kemmerer Village Inc.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Does Kemmerer Village Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2209861) is associated with this NPI, valid through January 17, 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 Kemmerer Village Inc. was last updated on October 31, 2018. 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.