RESIDENTIAL OPTIONS, INC.


Address: 2463 Henry St, Alton, IL 62002-4447
Phone: 6184654244

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).

Provider Overview

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

Taxonomy

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

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities RESIDENTIAL OPTIONS, INC. 1 Southside Rd, Danvers, MA 01923-1408

Office Location

Street Address 2463 HENRY ST
City ALTON
State IL
Zip Code 62002-4447

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NPI Name Taxonomy Address Enumeration
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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
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City ALTON
Zip Code 62002

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Dataset Information

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.

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