ZACHARY HOUSE NPI 1952596165

NPI Information

NPI: 1952596165
Provider Name: ZACHARY HOUSE
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization

CLIA Number: 14D1058579

Address:
1102 EAST AVENUE
STREAMWOOD, IL
ZIP 60107
Phone: (630) 483-0537
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ZACHARY HOUSE is an intermediate care facility mentally retarded in Streamwood, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. ZACHARY HOUSE NPI is 1952596165. The provider is registered as an organization entity type.

The provider's business location address is:

1102 EAST AVENUE
STREAMWOOD, IL
ZIP 60107
Phone: (630) 483-0537
Fax: (630) 483-0537

The provider's authorized official is Robin Witt .
The authorized official title is Chief Financial Officer and has the following contact phone number (847) 397-0055.

The CLIA number assigned to this NPI record is 14D1058579 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2007 and was last updated on 9/11/2007.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities				Yes

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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