RESIDENTIAL OPTIONS, INC. (NPI# 1366739716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366739716 |
Entity Type | Organization |
Organization Name | RESIDENTIAL OPTIONS, INC. |
Practice Address |
2463 Henry St Alton IL 62002-4447 |
Mailing Address |
4 Emmie L Kaus Ln Alton IL 62002-8865 |
Practice Telephone | 6184654244 |
Practice Fax Number | 6184749958 |
Mailing Telephone | 6184650044 |
Mailing Fax Number | 6184624124 |
Enumeration Date | 2011-07-06 |
Last Update Date | 2011-07-06 |
Authorized Official Name | DIANE TEBBE (VICE PRESIDENT) |
Authorized Official Telephone | 6184650044 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | IL | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548656788 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 750 S Moreland Rd, Lot # 31, Bethalto, IL 62010-2172 | 2015-04-14 |
1275801037 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1033 Oakwood Ave, Alton, IL 62002-5278 | 2011-12-08 |
1992092340 | Residential Options, Inc. | Community/Behavioral Health | 1017 Oakwood Ave, Alton, IL 62002-5278 | 2011-07-06 |
1104111293 | Residential Options, Inc. | Community/Behavioral Health | 910 Esic Dr, Edwardsville, IL 62025-3812 | 2011-06-16 |
1336475532 | Residential Options, Inc. | Social Worker | 2121 E Grand River Ave, Lansing, MI 48912-3231 | 2009-10-22 |
1285860205 | Residential Options, Inc. | Community/Behavioral Health | 4452 Industrial Dr, Alton, IL 62002-5938 | 2009-06-04 |
1487832804 | Residential Options, Inc. | Day Training, Developmentally Disabled Services | 4 Emmie L Kaus Ln, Alton, IL 62002-8865 | 2008-02-07 |
1952522922 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1108 Engineer Rd, Granite City, IL 62040-2890 | 2007-05-01 |
1104047174 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4617 Wonderland Dr, Alton, IL 62002-7309 | 2007-05-01 |
1770702763 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4710 Pierce Ln, Godfrey, IL 62035-4151 | 2007-04-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | RESIDENTIAL OPTIONS, INC. | 1 Southside Rd, Danvers, MA 01923-1408 |
Street Address |
2463 HENRY ST |
City | ALTON |
State | IL |
Zip Code | 62002-4447 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
Find all providers in zip 62002 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366920068 | Benita Ann Casey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rt 73 Mail Box # 352210, Alton, MO 65606 | 2018-08-03 |
1417313172 | Residential Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1824 Main St, Alton, IL 62002-4724 | 2016-01-12 |
1225494982 | Residential Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4320 Thadway Dr, Alton, IL 62002-5743 | 2016-01-12 |
1871959536 | Residential Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 325 Degenhardt St, Alton, IL 62002-6825 | 2016-01-12 |
1275801037 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1033 Oakwood Ave, Alton, IL 62002-5278 | 2011-12-08 |
1386939197 | Visions of Hope | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rr 1 Box 1650, Alton, MO 65606-9740 | 2011-06-09 |
1104047174 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4617 Wonderland Dr, Alton, IL 62002-7309 | 2007-05-01 |
1134348220 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 821 Washington Ave, Alton, IL 62002-2757 | 2007-04-25 |
1528185295 | Karen J Hollis | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rr 1 Box 1454, Alton, MO 65606-9730 | 2007-03-26 |
1780701557 | Southern Missouri Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rr 2 Box 2610, Alton, MO 65606-9633 | 2007-03-25 |
Find all providers in ALTON |
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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.