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ILLINOIS DEPARTMENT OF HUMAN SERVICES
NPI 1891994893
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Springfield, IL

Active since July 11, 2007
100 S GRAND AVE E, FEDERAL REPORTING UNIT, SPRINGFIELD, IL 62704(217) 785-8741 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Illinois Department Of Human Services NPPES

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

ILLINOIS DEPARTMENT OF HUMAN SERVICES (NPI 1891994893) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Springfield, Illinois and active in the NPI registry since July 2007. The organization lists Victoria Pyles, Bureau Chief, as its authorized official.

NPPES Registry Identity

NPI1891994893
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameILLINOIS DEPARTMENT OF HUMAN SERVICES
Location Address100 S GRAND AVE E, FEDERAL REPORTING UNITSpringfield, IL 62704-3802
Mailing Address100 S Grand Ave ESpringfield, IL 62704-3802 · (217) 557-6858 · Fax (217) 557-6858
Phone(217) 785-8741
Organization SubpartNo
Authorized OfficialVictoria PylesBureau Chief · (217) 557-6858
Enumeration DateJuly 11, 2007
Last NPPES UpdateJune 25, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1891994893 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.

100 S GRAND AVE E, Springfield, IL 62704
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Other Names 1

Other NameCentral Office

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 14D2200561

Illinois Department Of Juvenile Justice · Springfield, IL
Active · expires Nov 15, 2026
CLIA Number14D2200561
Laboratory TypePrison
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorJustin Kwak
Laboratory Phone(312) 415-6511
Laboratory LocationIllinois Department Of Juvenile Justice2715 W Monroe Attn Lindsay England, Springfield, IL 62704
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is ILLINOIS DEPARTMENT OF HUMAN SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1891994893, enumerated as an "organization" on July 11, 2007.

Where is the provider located?

The provider is located at 100 S GRAND AVE E FEDERAL REPORTING UNIT SPRINGFIELD, IL 62704 and the phone number is (217) 785-8741.

What is the provider's specialty?

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.