CENTERS FOR RESIDENTIAL ALTERNATIVES


Address: 625 E 170th St, Suite 2 - E, South Holland, IL 60473-3479
Phone: 7083393100

CENTERS FOR RESIDENTIAL ALTERNATIVES (NPI# 1760852230) 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) 1760852230
Entity Type Organization
Organization Name CENTERS FOR RESIDENTIAL ALTERNATIVES
Practice Address 625 E 170th St
Suite 2 - E
South Holland
IL 60473-3479
Practice Telephone 7083393100
Practice Fax Number 7083393200
Mailing Telephone 7083393100
Mailing Fax Number 7083393200
Enumeration Date 2015-09-28
Last Update Date 2015-09-28
Authorized Official Name MR. EUGENE HUMPHREY III (EXECUTIVE DIRECTOR)
Authorized Official Telephone 7083393100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services Agencies

Office Location

Street Address 625 E 170TH ST
SUITE 2 - E
City SOUTH HOLLAND
State IL
Zip Code 60473-3479

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NPI Name Taxonomy Address Enumeration
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1053830828 Caring Shepherds Health Care Inc In Home Supportive Care 15525 South Park Ave, Suite 103b, South Holland, IL 60473 2017-09-13
1972039469 Dipeeka Patel Nurse Practitioner 430 E 162nd St # 487, South Holland, IL 60473 2017-05-03
1134576036 A&j Transportation LLC Non-emergency Medical Transport (VAN) 16610 Langley Ave, South Holland, IL 60473 2016-05-20
1902204902 Np Prn LLP Clinic/Center 16456 Dobson, South Holland, IL 60473 2014-12-08
1033415328 Twfj Inc Private Vehicle 15059 Forestview, South Holland, IL 60473 2011-02-03
1871751396 Arlene Gardner Counselor 16107 Lasalle Street, South Holland, IL 60473 2008-05-30
1952576233 Harvey Family Center Voluntary or Charitable 16247 Wausau Ave., South Holland, IL 60473 2008-04-28
1548452725 Chirospaaah Chiropractor 944 East 162nd St., South Holland, IL 60473 2007-08-13
1033313341 Myra D Staples Social Worker 430 East 167th Street, South Holland, IL 60473 2007-06-12
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619515665 People Overcoming With Everlasting Results, Inc. Day Training, Developmentally Disabled Services 6400 W Main St Ste 1f-3, Belleville, IL 62223-3806 2019-12-19
1386132520 It Takes A Community LLC Day Training, Developmentally Disabled Services 9046 S Justine St, Chicago, IL 60620 2018-04-24
1215424460 Victor C. Neumann Association Day Training, Developmentally Disabled Services 4434 W Diversey Ave, Chicago, IL 60639-1939 2018-04-13
1194212399 Victor C Neumann Association Day Training, Developmentally Disabled Services 4122 N Nashville Ave, Chicago, IL 60634-1429 2018-04-13
1952825770 Help At Home, LLC Day Training, Developmentally Disabled Services 1 N State St Ste 800, Chicago, IL 60602-3312 2017-08-02
1316478878 Kathryn Elaine Miller Rose Day Training, Developmentally Disabled Services 1207 Lakeside Ln, Mahomet, IL 61853-9767 2017-03-25
1063943645 Lf Walls Corp Day Training, Developmentally Disabled Services 1404 Fox Hound Trl, Beecher, IL 60401-5106 2017-03-24
1285186254 Dorr-wood Ltd Day Training, Developmentally Disabled Services 1001 Rail Dr, Woodstock, IL 60098-9411 2016-10-26
1558818930 Autismchicago Day Training, Developmentally Disabled Services 8035 S Wabash Ave, Chicago, IL 60619-3516 2016-09-02
1518411594 Transitions of Western Illinois Day Training, Developmentally Disabled Services 631 N 48th St, Quincy, IL 62305-7918 2016-08-08
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Competitor

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City SOUTH HOLLAND
Zip Code 60473

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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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