Residential Options, Inc. in Alton - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Residential Options, Inc. - NPI 1104047174
Residential Options, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Alton, Illinois. Residential Options, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Residential Options, Inc. is 1104047174. The last update date is 2022-07-21.
Residential Options, Inc.'s current location address is 4617 Wonderland Dr, Alton, Illinois. You can contact this provider via phone number 6184658845 and fax number 6184634890. The mailing address for Residential Options, Inc. is 4617 Wonderland Dr, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Residential Options, Inc. |
|---|---|
| Address | 4617 Wonderland Dr, Alton, Illinois |
| Phone Number | 6184658845 |
| Fax Number | 6184634890 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP |
|---|---|
| Authorized Official Name | Tebbe Diane |
| Telephone Number | 6184650044 |
NPI Number Detail
| NPI Number | 1104047174 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 4617 Wonderland Dr |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 620027309 |
| Phone Number | 6184658845 |
| Fax Number | 6184634890 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 39123 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6013973 | IL | PUBLIC HEALTH FACILITY ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Residential Options, Inc. by the Centers for Medicare & Medicaid Services?
The Residential Options, Inc. has been assigned the NPI (National Provider Identifier) 1104047174 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Residential Options, Inc.'s physical address?
The Residential Options, Inc. is physically located at 4617 Wonderland Dr, in the city of Alton, IL, with the postal code 620027309.
What is the area of specialization for Residential Options, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Residential Options, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104047174 to Residential Options, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1104047174 to Residential Options, Inc. on 2007-05-01.
When was the information related to Residential Options, Inc. most recently updated or refreshed?
The details pertaining to the Residential Options, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.
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