South Suburban Training & Rehabilitation Services in Chicago Heights - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
South Suburban Training & Rehabilitation Services - NPI 1053503094
South Suburban Training & Rehabilitation Services is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Chicago Heights, Illinois. South Suburban Training & Rehabilitation Services practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for South Suburban Training & Rehabilitation Services is 1053503094. The last update date is 2007-10-27.
South Suburban Training & Rehabilitation Services's current location address is 1005 W End Ave, Chicago Heights, Illinois. You can contact this provider via phone number 7087558030 and fax number 7087558047. The mailing address for South Suburban Training & Rehabilitation Services is 1005 W End Ave, Chicago Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Suburban Training & Rehabilitation Services |
|---|---|
| Address | 1005 W End Ave, Chicago Heights, Illinois |
| Phone Number | 7087558030 |
| Fax Number | 7087558047 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Strick Daniel |
| Telephone Number | 7087558030 |
NPI Number Detail
| NPI Number | 1053503094 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-10-27 |
Provider Mailing Address Detail
| Address | 1005 W End Ave |
|---|---|
| City | Chicago Heights |
| State | Illinois (IL) |
| Post Code | 604112742 |
| Phone Number | 7087558030 |
| Fax Number | 7087558047 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 946232 |
|
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 identification code issued to South Suburban Training & Rehabilitation Services by the Centers for Medicare & Medicaid Services?
The South Suburban Training & Rehabilitation Services has been assigned the NPI (National Provider Identifier) 1053503094 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where South Suburban Training & Rehabilitation Services is physically located?
The South Suburban Training & Rehabilitation Services is situated at the following address: 1005 W End Ave, Chicago Heights, IL 604112742.
What is South Suburban Training & Rehabilitation Services's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Suburban Training & Rehabilitation Services is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053503094 to South Suburban Training & Rehabilitation Services?
The Centers for Medicare & Medicaid Services originally issued the 1053503094 to South Suburban Training & Rehabilitation Services on 2007-08-14.
When was the information pertaining to South Suburban Training & Rehabilitation Services most recently updated or revised?
The details related to South Suburban Training & Rehabilitation Services, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-27.