RESIDENTIAL OPTIONS, INC (NPI# 1285860452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285860452 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL OPTIONS, INC |
| Practice Address |
1282 Ridgewood Ct Collinsville IL 62234-4146 |
| Mailing Address |
4 Emmie L Kaus Ln Alton IL 62002-8865 |
| Practice Telephone | 6183461360 |
| Practice Fax Number | 6183461363 |
| Mailing Telephone | 6184650044 |
| Mailing Fax Number | 6184624124 |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |
| Authorized Official Name | DIANE TEBBE (VICE PRESIDENT) |
| Authorized Official Telephone | 6184650044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94S229 | IL | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 94S229 | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962914770 | Residential Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5125 Dixon Dr, Godfrey, IL 62035-1419 | 2017-11-02 |
| 1417313172 | Residential Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1824 Main St, Alton, IL 62002-4724 | 2016-01-12 |
| 1225494982 | Residential Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4320 Thadway Dr, Alton, IL 62002-5743 | 2016-01-12 |
| 1598121253 | Residential Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5007 Michael Dr, Godfrey, IL 62035-1371 | 2016-01-12 |
| 1871959536 | Residential Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 325 Degenhardt St, Alton, IL 62002-6825 | 2016-01-12 |
| 1922216746 | Residential Options, Inc | Intermediate Care Facility, Mentally Retarded | 3668 Bogota Dr, Westerville, OH 43081-4314 | 2007-05-18 |
| 1174731996 | Residential Options, Inc | Intermediate Care Facility, Mentally Retarded | 3273 Shasta Ave, Columbus, OH 43231-3160 | 2007-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RESIDENTIAL OPTIONS, INC. | 1 Southside Rd, Danvers, MA 01923-1408 |
| Street Address |
1282 RIDGEWOOD CT |
| City | COLLINSVILLE |
| State | IL |
| Zip Code | 62234-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730791005 | Kendall Kotter | Pharmacist | 401 Beltline Rd, Collinsville, IL 62234 | 2020-08-18 |
| 1851804207 | Apex Physical Therapy, LLC | Clinic/Center | 1095 Beltine Rd., Ste. 400, Collinsville, IL 62234 | 2017-11-08 |
| 1205361110 | Pc Associates, LLC | Family Medicine | 1095 Beltline Road, Suite 500, Collinsville, IL 62234 | 2017-04-28 |
| 1538405451 | Joan M Polwort | Pharmacist | 801 Braidwood Ct, Collinsville, IL 62234 | 2012-12-20 |
| 1275818080 | Stephen Scott Branding | Pharmacist | 401 Beltline Rd., Collinsville, IL 62234 | 2011-10-13 |
| 1447534417 | Lindsay Eakin | Pharmacist | 401 Beltline, Collinsville, IL 62234 | 2011-10-07 |
| 1700171568 | Patrick Joseph Swierczek | Social Worker | 820 St. Louis Rd Apt#232, Collinsville, IL 62234 | 2011-06-09 |
| 1366670887 | Susan M. Smith Dc LLC | Chiropractor | 226 South Morrison, Collinsville, IL 62234 | 2009-06-23 |
| 1649418492 | Lynette M Patton | Counselor | 415 W Main St Ste 3, Collinsville, IL 62234 | 2009-02-02 |
| 1558506626 | Kimberly Jean Miller | Counselor | Meadow Heights Professional Park, Suite 2b, Collinsvile, IL 62234 | 2008-12-03 |
| Find all providers in zip 62234 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346566445 | Chestnut Health Systems, Inc. | Community Based Residential Treatment Facility, Mental Illness | 814 Saint Louis Rd, Apt. 232, Collinsville, IL 62234-2023 | 2010-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 62234 |
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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.