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LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI 1295908689


NPI Information

NPI: 1295908689
Provider Name: LUTHERAN SOCIAL SERVICES OF ILLINOIS

Other Name: FOX HILL PRADER WILLI GROUP HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
560 W GALENA BLVD
AURORA, IL
ZIP 60506
Phone: (630) 892-8418
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LUTHERAN SOCIAL SERVICES OF ILLINOIS is a community based residential treatment facility, intellectual and/or developmental disabilities in Aurora, IL. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. LUTHERAN SOCIAL SERVICES OF ILLINOIS NPI is 1295908689. The provider is registered as an organization entity type.
The provider Other Name Is Fox Hill Prader Willi Group Home.

The provider's business location address is:

560 W GALENA BLVD
AURORA, IL
ZIP 60506-855
Phone: (630) 892-8418
Fax: (630) 892-8452

The provider's authorized official is Jerry Noonan .
The authorized official title is Chief Financial Officer and has the following contact phone number (847) 635-4600.

The enumeration date for this NPI number is 4/8/2008 and was last updated on 4/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities926169ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1926169OTHERILLINOISDEPT OF HUMAN SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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