OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER (NPI# 1083736763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083736763 |
| Entity Type | Organization |
| Organization Name | OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER |
| Practice Address |
3452 Middlebury Way Belleville IL 62221-3372 |
| Mailing Address |
1000 Saint Cyr Rd Saint Louis MO 63137-1733 |
| Practice Telephone | 3148682232 |
| Practice Fax Number | 3148688075 |
| Mailing Telephone | 3148682232 |
| Mailing Fax Number | 3148688075 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2017-03-10 |
| Authorized Official Name | ROMANA AFTAB (CEO) |
| Authorized Official Telephone | 6186983479 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 385H00000X | Respite Care | 632 | MO | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 293895702 | 05 |
| Street Address |
3452 MIDDLEBURY WAY |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| Find all providers in zip 62221 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225692783 | Tutty Living Day By Day LLC | Respite Care | 455 Lakelawn Blvd, Aurora, IL 60506-2270 | 2019-04-30 |
| 1376060020 | Illinois West Central Home Care Corp | Respite Care | 8 S Main St Ste 202, Canton, IL 61520-2680 | 2017-08-24 |
| 1174048599 | I Care Too | Respite Care | 3009 W Washington Blvd, Chicago, IL 60612-1838 | 2017-08-07 |
| 1407253396 | Real Connections LLC | Respite Care | 6031 N Kenmore Ave, Chicago, IL 60660-5004 | 2014-11-21 |
| 1144623208 | Ecumenical Support Services for The Elderly Esse Center | Respite Care | 28w444 Main St, Warrenville, IL 60555-3343 | 2014-10-03 |
| 1386047447 | Ecumenical Support Services for The Elderly Esse Center | Respite Care | 41 N Park Blvd, Glen Ellyn, IL 60137-5713 | 2014-10-03 |
| 1740683812 | Ecumenical Support Services for The Elderly Esse Center | Respite Care | 5110 Grand Ave, Gurnee, IL 60031-1813 | 2014-10-03 |
| 1043621923 | Riverwalk Adult Day Services | Respite Care | 305 Jackson Ave, Naperville, IL 60540-5204 | 2014-05-14 |
| 1447695853 | Ecumenical Support Services for The Elderly | Respite Care | 515 S Wheaton Ave, Wheaton, IL 60187-5213 | 2013-04-30 |
| 1013241066 | Comfort Companion Choice Inc | Respite Care | 818 Harrison St, Suite 206, Oak Park, IL 60304-1144 | 2009-09-23 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
Please comment or provide details below to improve the information on OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.