JOSEPH REHABILITATION CENTER, LLC (NPI# 1316187446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316187446 |
Entity Type | Organization |
Organization Name | JOSEPH REHABILITATION CENTER, LLC |
Practice Address |
2 Olympus Dr Tinley Park IL 60477-4827 |
Practice Telephone | 7084203250 |
Practice Fax Number | 7084295868 |
Mailing Telephone | 7084203250 |
Mailing Fax Number | 7084295868 |
Enumeration Date | 2009-03-02 |
Last Update Date | 2009-03-02 |
Authorized Official Name | DR. JOSEPH ABIODUN BALOGUN (CEO) |
Authorized Official Telephone | 7084203250 |
Authorized Official Credential | PHD PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
IL | Nursing & Custodial Care Facilities | |
Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | IL | Nursing & Custodial Care Facilities |
Street Address |
2 OLYMPUS DR |
City | TINLEY PARK |
State | IL |
Zip Code | 60477-4827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437114972 | Adetutu Olusola Balogun | Occupational Therapist | 2 Olympus Dr, Tinley Park, IL 60477-4827 | 2006-04-18 |
1336452879 | Tonya Renee Scott | Speech-Language Pathologist | 2 Olympus Dr, Tinley Park, IL 60477-4827 | 2010-07-26 |
1033431119 | Yolanda White | Occupational Therapist | 2 Olympus Dr, Tinley Park, IL 60477-4827 | 2010-02-17 |
1144460270 | Joseph Abiodun Balogun | Physical Therapist | 2 Olympus Dr, Tinley Park, IL 60477-4827 | 2009-03-02 |
1487839072 | Sarah Jane Geiger-galietta | Occupational Therapy Assistant | 2 Olympus Dr, Tinley Park, IL 60477-4827 | 2008-01-02 |
1639354210 | Adaku Jimonu | Developmental Therapist | 2 Olympus Dr, Tinley Park, IL 60477-4827 | 2008-01-02 |
1457540163 | /maureen Elizabeth Fernandez | Developmental Therapist | 2 Olympus Dr, Tinley Park, IL 60477-4827 | 2007-10-18 |
1528023074 | Horizon Therapy LLC | Occupational Therapist | 2 Olympus Dr, Tinley Park, IL 60477-4827 | 2006-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
Find all providers in zip 60477 |
Taxonomy Code | 315P00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Intermediate Care Facility, Mentally Retarded |
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871039669 | Mount St Joseph | Intermediate Care Facility, Mentally Retarded | 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 | 2017-01-17 |
1447792221 | Shore Community Services, Inc. | Intermediate Care Facility, Mentally Retarded | 8350 Laramie Ave, Skokie, IL 60077-2461 | 2016-11-10 |
1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
1265898266 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 102 S Douglas St, Mc Leansboro, IL 62859-1637 | 2016-01-06 |
1164888160 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 W Delaware St, Fairfield, IL 62837-2336 | 2016-01-06 |
1376909374 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 416 Chula Vista Dr, Belleville, IL 62221-3160 | 2016-01-06 |
1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
1790141885 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 212 Turning Leaf Cir, Belleville, IL 62221-6747 | 2016-01-06 |
1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
Find all providers with the same taxonomy |
City | TINLEY PARK |
Zip Code | 60477 |
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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.