Shapiro Developmental Center in Kankakee - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Shapiro Developmental Center - NPI 1013034644
Shapiro Developmental Center is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Kankakee, Illinois. Shapiro Developmental Center practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Shapiro Developmental Center is 1013034644. The last update date is 2020-08-22.
Shapiro Developmental Center's current location address is 100 E Jeffery St, Kankakee, Illinois. You can contact this provider via phone number 8159398201 and fax number 8159398266. The mailing address for Shapiro Developmental Center is 100 E Jeffery St, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shapiro Developmental Center |
|---|---|
| Address | 100 E Jeffery St, Kankakee, Illinois |
| Phone Number | 8159398201 |
| Fax Number | 8159398266 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FACILITY D |
|---|---|
| Authorized Official Name | Collins L Ira |
| Telephone Number | 8159398201 |
NPI Number Detail
| NPI Number | 1013034644 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 E Jeffery St |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609015018 |
| Phone Number | 8159398201 |
| Fax Number | 8159398266 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identifier code assigned to Shapiro Developmental Center by the Centers for Medicare & Medicaid Services?
The Shapiro Developmental Center has been issued the NPI (National Provider Identifier) 1013034644 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Shapiro Developmental Center?
The Shapiro Developmental Center is situated at 100 E Jeffery St, in the city of Kankakee, state of IL, with the zip code 609015018.
What is Shapiro Developmental Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Shapiro Developmental Center's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
When was the Shapiro Developmental Center's 1013034644 issued?
The Shapiro Developmental Center's 1013034644 was issued on 2007-03-26.
When was the Shapiro Developmental Center's information last updated?
The Shapiro Developmental Center's information was last updated on 2020-08-22.