SUSAN R. DAVIS THERAPIES, INC. (NPI# 1104171917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104171917 |
| Entity Type | Organization |
| Organization Name | SUSAN R. DAVIS THERAPIES, INC. |
| Practice Address |
3804 11th St Winthrop Harbor IL 60096-1461 |
| Practice Telephone | 8475021007 |
| Practice Fax Number | 8153019025 |
| Mailing Telephone | 8475021007 |
| Mailing Fax Number | 8153019025 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | MS. SUSAN R. DAVIS (PRESIDENT) |
| Authorized Official Telephone | 8475021007 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 180.007623 | IL | Agencies |
| Y | 252Y00000X | Early Intervention Provider Agency | 180.007623 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS DEPT OF PROFESSIONAL AND FINANCIAL LICENSES | 180.007623 | 01 |
| IL | ILLINOIS EARLY INTERVENTION | SS12630298P | 01 |
| Street Address |
3804 11TH ST |
| City | WINTHROP HARBOR |
| State | IL |
| Zip Code | 60096-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831332469 | Winthrop Harbor School District #1 | Local Education Agency (LEA) | 500 North Ave, Winthrop Harbor, IL 60096-1186 | 2009-04-13 |
| 1720501380 | Lion Grenader | Dentist | 644 Sheridan Rd # D, Winthrop Harbor, IL 60096-1350 | 2017-07-25 |
| 1306853429 | Winthrop Harbor Dental Center | Dentist | 644 Sheridan Rd, Suite 105, Winthrop Harbor, IL 60096-1350 | 2006-08-02 |
| 1427071828 | Michael A. Damko | Dentist | 644 Sheridan Rd, Suite 105, Winthrop Harbor, IL 60096-1350 | 2006-07-26 |
| 1952848756 | Joan Thornton | Licensed Practical Nurse | 743 Russell Ave, Winthrop Harbor, IL 60096-1544 | 2017-01-31 |
| 1871528133 | Village of Winthrop Hbr | Ambulance | 830 Sheridan Rd, Winthrop Harbor, IL 60096-1632 | 2006-07-12 |
| 1043219652 | Harbor Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 | 2005-07-15 |
| 1992844773 | Jackie Lynne Schilling | Pharmacist | 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 | 2007-02-06 |
| 1013056605 | Louis M. Abboud | Pharmacist | 1707 7th St, Winthrop Harbor, IL 60096-1656 | 2007-02-06 |
| 1205973609 | Harbor Pharmacy Inc | Pharmacy | 1707 7th St, Suite 4, Winthrop Harbor, IL 60096-1656 | 2007-02-01 |
| Find all providers in zip 60096 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679190763 | Suzanne Mraz | Early Intervention Provider Agency | 4007 Sterling Rd, Downers Grove, IL 60515-2220 | 2020-07-06 |
| 1023632338 | Lutz Therapy, LLC | Early Intervention Provider Agency | 10550 Braeburn Rd, Barrington, IL 60010-9674 | 2020-06-02 |
| 1235751991 | Cynthia Dressler | Early Intervention Provider Agency | 7794 Sherwood Cir S, Hanover Park, IL 60133-2561 | 2020-05-15 |
| 1619599446 | Kids Evolve Early Development LLC | Early Intervention Provider Agency | 6009 S Laflin St, Chicago, IL 60636-2309 | 2020-05-14 |
| 1609401298 | Pamela Taylor | Early Intervention Provider Agency | 7611 S Crandon Ave, Chicago, IL 60649-4116 | 2020-03-04 |
| 1114550720 | Naima Johnson | Early Intervention Provider Agency | 233 W Country Ct, Bourbonnais, IL 60914-2119 | 2020-02-21 |
| 1407489578 | Elizabeth Piotrowski | Early Intervention Provider Agency | 729 Old Westbury Rd, Crystal Lake, IL 60012-3770 | 2020-02-18 |
| 1144850827 | Hyrin Owens | Early Intervention Provider Agency | 16014 Sawyer Ave, Markham, IL 60428-4528 | 2020-01-22 |
| 1417587569 | Heartland Medical Care | Early Intervention Provider Agency | 30 S Wacker Dr Fl 22, Chicago, IL 60606-7452 | 2020-01-16 |
| 1083254874 | Play & Learn Developmental Company | Early Intervention Provider Agency | 4518 W Van Buren St, Chicago, IL 60624-3050 | 2020-01-09 |
| Find all providers with the same taxonomy | ||||
| City | WINTHROP HARBOR |
| Zip Code | 60096 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.