Maryville Academy in Des Plaines - Psychiatric Residential Treatment Facility
Maryville Academy - NPI 1558391656
Maryville Academy is a Psychiatric Residential Treatment Facility in Des Plaines, Illinois. Maryville Academy practices all healthcare services and medical treatments related to Psychiatric Residential Treatment Facility. The NPI Number for Maryville Academy is 1558391656. The last update date is 2022-07-08.
Maryville Academy's current location address is 555 Wilson Ln, Des Plaines, Illinois. You can contact this provider via phone number 8477685461 and fax number 8477685478. The mailing address for Maryville Academy is 555 Wilson Ln, Des Plaines, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Maryville Academy |
|---|---|
| Address | 555 Wilson Ln, Des Plaines, Illinois |
| Phone Number | 8477685461 |
| Fax Number | 8477685478 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Woulfe Z Nancy |
| Telephone Number | 8472941910 |
NPI Number Detail
| NPI Number | 1558391656 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2022-07-08 |
Provider Mailing Address Detail
| Address | 555 Wilson Ln |
|---|---|
| City | Des Plaines |
| State | Illinois (IL) |
| Post Code | 6001647290 |
| Phone Number | 8477685461 |
| Fax Number | 8477685478 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Residential Treatment Facility |
|---|---|
| Taxonomy | 323P00000X |
| Licence No | 240521-04 |
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Definition: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized ps |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 240521-04 | IL | DCFS - RTC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Maryville Academy?
The Maryville Academy has been issued the NPI (National Provider Identifier) 1558391656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Maryville Academy's physical address?
The Maryville Academy is physically located at 555 Wilson Ln, in the city of Des Plaines, IL, with the postal code 6001647290.
What is the Maryville Academy's specialty and taxonomy code?
The Maryville Academy's specialty is Psychiatric Residential Treatment Facility, and the corresponding taxonomy code is 323P00000X.
On what date did Maryville Academy receive its 1558391656 assignment from the Centers for Medicare & Medicaid Services?
The Maryville Academy was assigned its 1558391656 on 2006-07-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Maryville Academy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Maryville Academy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-08.