RIVERSIDE FOUNDATION (NPI# 1154345676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154345676 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE FOUNDATION |
| Practice Address |
14588 W Highway 22 Riverside Foundation Lincolnshire IL 60069 |
| Practice Telephone | 8476343973 |
| Practice Fax Number | 8476340227 |
| Mailing Telephone | 8476343973 |
| Mailing Fax Number | 8476340227 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PETE MULE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8476343973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 0022988 | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621871 | Riverside Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14588 W Highway 22, Lincolnshire, IL 60069-3024 | 2016-11-07 |
| Street Address |
14588 W HIGHWAY 22 RIVERSIDE FOUNDATION |
| City | LINCOLNSHIRE |
| State | IL |
| Zip Code | 60069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639133671 | Antonio A Chua Lee | Internal Medicine | 14588 W Highway 22, Lincolnshire, IL 60069-3039 | 2006-04-14 |
| 1730621871 | Riverside Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14588 W Highway 22, Lincolnshire, IL 60069-3024 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283382 | Annmarie Perelle | Physical Therapist | 100 Village Green Drive, Suite 2010, Lincolnshire, IL 60069 | 2020-10-23 |
| 1790123164 | Ann Cameron Cameron Schieber | Dermatology | 275 Parkway Drive, Suite 521, Lincolnshire, IL 60069 | 2013-06-07 |
| 1952676405 | Senior Care Physicians of Illinois, S.c. | Internal Medicine | 80 Audubon Way, Lincolnshire, IL 60069 | 2012-03-16 |
| 1134432537 | Daniel Sorkin, Psy.d., LLC | Psychologist | 430 North Milwaukee Avenue, Suite 15, Lincolnshire, IL 60069 | 2010-07-14 |
| 1538309836 | Lowela Kho Palomares | Physical Therapist | 800 Audobon Way, Lincolnshire, IL 60069 | 2009-02-26 |
| 1962657890 | Lincolnshire Senior Care LLC | Skilled Nursing Facility | 960 Audubon Way, Rose Court, Lincolnshire, IL 60069 | 2008-11-19 |
| 1184885964 | Kristina Marie Ward | Pediatrics | 185 N. Milwaukee Ave, Suite 220, Lincolnshire, IL 60069 | 2008-06-24 |
| 1922159508 | Dolores Imroth Braun | Counselor | 24 Wimbledon Ct, Lincolnshire, IL 60069 | 2007-01-12 |
| 1588738439 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 300 Village Grn Ste 205, Lincolnshire, IL 60069 | 2006-11-20 |
| 1164439030 | Leanne Reed | Physical Therapist | 2525 Waukegan Rd #255, Bannockburn, IL 60069 | 2006-08-02 |
| Find all providers in zip 60069 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689218273 | Dymond Homes LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4223 S Prairie Ave, Chicago, IL 60653-3211 | 2019-11-06 |
| 1447782396 | Light of Hope | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 22858 Millard Ave, Richton Park, IL 60471-2531 | 2017-03-30 |
| 1760831945 | Nucare Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18118 Orleans Dr, Hazel Crest, IL 60429-2242 | 2016-06-08 |
| 1649629346 | Catina Ballin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 8808 Riley Road, Wonderlake, IL 60097 | 2016-06-03 |
| 1003262254 | Patterson House Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 717 E 1st South St, Carlinville, IL 62626-1922 | 2016-05-06 |
| 1235592288 | Ray Graham Association | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 901 Warrenville Rd, Suite 500, Lisle, IL 60532-4301 | 2016-03-29 |
| 1962867796 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1315 N Curran Rd, Mchenry, IL 60050-6520 | 2015-12-21 |
| 1942675228 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 N Hart St, Harvard, IL 60033-2227 | 2015-12-11 |
| 1518332881 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 851 W Main St, Cary, IL 60013-1920 | 2015-12-11 |
| 1083089361 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 455 Huntley Rd, Crystal Lake, IL 60014-5318 | 2015-12-11 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLNSHIRE |
| Zip Code | 60069 |
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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.