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ZACHARY HOUSE
NPI 1952596165
Intermediate Care Facility, Intellectual Disabilities in Streamwood, IL

Active since September 11, 2007CLIA 14D1058579 · Waiver
1102 EAST AVENUE, STREAMWOOD, IL 60107(630) 483-0537(630) 483-0537 Get Directions Write a Review

NPPES record last updated: September 11, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Zachary House NPPES

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

ZACHARY HOUSE (NPI 1952596165) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Streamwood, Illinois and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through September 7, 2026 and lists Robin Witt, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1952596165
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameZACHARY HOUSE
Location Address1102 EAST AVENUEStreamwood, IL 60107
Mailing Address1102 East AvenueStreamwood, IL 60107 · (630) 483-0537 · Fax (630) 483-0537
Phone(630) 483-0537
Fax(630) 483-0537
Organization SubpartNo
Authorized OfficialRobin WittChief Financial Officer · (847) 397-0055
Enumeration DateSeptember 11, 2007
✔ NPI 1952596165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
1102 EAST AVENUE, Streamwood, IL 60107
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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 14D1058579

Zachary House East Ave · Streamwood, IL
Active · expires Sep 7, 2026
CLIA Number14D1058579
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 8, 2024
Certificate Expiration DateSeptember 7, 2026
Laboratory DirectorDonita A. Link
Laboratory Phone(630) 483-0537
Laboratory LocationZachary House East Ave1102 East Ave, Streamwood, IL 60107
CLIA data matches this NPI record on: Address Name Phone
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 Zachary House's NPI number?

The NPI number for Zachary House is 1952596165. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Zachary House located?

Zachary House is located at 1102 East Avenue, Streamwood, IL 60107. The listed phone number is (630) 483-0537.

What is Zachary House's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Zachary House hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1058579) is associated with this NPI, valid through September 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Zachary House was last updated on September 11, 2007. 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.