CLEARBROOK WEST (NPI# 1235482381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235482381 |
| Entity Type | Organization |
| Organization Name | CLEARBROOK WEST |
| Practice Address |
1835 W Central Rd Arlington Heights IL 60005-2410 |
| Mailing Address |
3980 Fairfax Ave Rolling Meadows IL 60008-1313 |
| Practice Telephone | 8478707711 |
| Practice Fax Number | 8478709926 |
| Mailing Telephone | 8472535155 |
| Mailing Fax Number | 8478709970 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | JOAN KEARNEY (VP FINANCE) |
| Authorized Official Telephone | 8478707711 |
| Is Organization Subpart | Y |
| Parent Organization Name | CLEARBROOK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 2067033 | IL | Nursing & Custodial Care Facilities |
| Street Address |
1835 W CENTRAL RD |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346253127 | Roberta Louise Hansen | Physical Therapist | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2006-08-14 |
| 1528667797 | Rich G Magsombol | Counselor | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2020-10-20 |
| 1326656497 | Rachel Jacobs | Counselor | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2020-07-15 |
| 1528602513 | Katherine Jordan | Occupational Therapist | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2019-11-01 |
| 1770143778 | Elizabeth Di Zenzo | Speech-Language Pathologist | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2019-06-20 |
| 1891359360 | Clearbrook Bhc | Community/Behavioral Health | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2019-04-30 |
| 1184190290 | Sarah Parkinson | Behavioral Analyst | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2018-10-16 |
| 1033695663 | Laura Ann Midday | Speech-Language Pathologist | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2018-07-17 |
| 1518466895 | Abbey Gail Turner | Behavioral Analyst | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2018-02-01 |
| 1003329897 | Emily Fencl | Day Training/Habilitation Specialist | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2017-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356694541 | Clearbrook Center | Intermediate Care Facility, Mentally Retarded | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2012-10-25 |
| 1033462577 | Clearbrook East | Intermediate Care Facility, Mentally Retarded | 1835 W Central Rd, Arlington Heights, IL 60005-2410 | 2012-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871039669 | Mount St Joseph | Intermediate Care Facility, Mentally Retarded | 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 | 2017-01-17 |
| 1447792221 | Shore Community Services, Inc. | Intermediate Care Facility, Mentally Retarded | 8350 Laramie Ave, Skokie, IL 60077-2461 | 2016-11-10 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1265898266 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 102 S Douglas St, Mc Leansboro, IL 62859-1637 | 2016-01-06 |
| 1164888160 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 W Delaware St, Fairfield, IL 62837-2336 | 2016-01-06 |
| 1376909374 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 416 Chula Vista Dr, Belleville, IL 62221-3160 | 2016-01-06 |
| 1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
| 1790141885 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 212 Turning Leaf Cir, Belleville, IL 62221-6747 | 2016-01-06 |
| 1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
| 1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
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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.