RIVERSIDE FOUNDATION (NPI# 1730621871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730621871 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE FOUNDATION |
| Practice Address |
14588 W Highway 22 Lincolnshire IL 60069-3024 |
| Practice Telephone | 8476343973 |
| Practice Fax Number | 8476340227 |
| Mailing Telephone | 8476343973 |
| Mailing Fax Number | 8476340227 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | DEBORAH ROGERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8476343973 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154345676 | Riverside Foundation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14588 W Highway 22, Riverside Foundation, Lincolnshire, IL 60069 | 2006-07-27 |
| Street Address |
14588 W HIGHWAY 22 |
| City | LINCOLNSHIRE |
| State | IL |
| Zip Code | 60069-3024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639133671 | Antonio A Chua Lee | Internal Medicine | 14588 W Highway 22, Lincolnshire, IL 60069-3039 | 2006-04-14 |
| 1154345676 | Riverside Foundation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 14588 W Highway 22, Riverside Foundation, Lincolnshire, IL 60069 | 2006-07-27 |
| 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 | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131419 | Foatex Health Cilacare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 163rd St, Calumet City, IL 60409-5915 | 2020-10-10 |
| 1053949404 | A Great Place To Stay LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35580 N Knowles Rd, Lake Villa, IL 60046-9026 | 2020-03-31 |
| 1255966602 | Infinicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1939 Waukegan Rd Ste 300, Glenview, IL 60025-1758 | 2020-03-05 |
| 1023643772 | Supporting Community Independence | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Polo Grounds Ct, Bethalto, IL 62010-2623 | 2020-03-03 |
| 1770116287 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12101 S La Salle St, Chicago, IL 60628-6618 | 2020-02-13 |
| 1760014625 | Tomeka R Morgan | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11543 S Ashland Ave, Chicago, IL 60643-5001 | 2020-02-10 |
| 1487292660 | Shalom Home Health Ltd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8147 Seminole Ct, Orland Park, IL 60462-4919 | 2019-12-18 |
| 1447894613 | Compassionate Living Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2625 Butterfield Rd Ste 314e, Oak Brook, IL 60523-1234 | 2019-10-31 |
| 1417599945 | Miracle Comprehensive Serivces | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4440 Lincoln Hwy Ste 205, Matteson, IL 60443-3803 | 2019-10-16 |
| 1609435072 | Bliss Haven, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1304 Durham St, Johnston City, IL 62951-2043 | 2019-06-10 |
| Find all providers with the same taxonomy | ||||
| City | LINCOLNSHIRE |
| Zip Code | 60069 |
Please comment or provide details below to improve the information on RIVERSIDE FOUNDATION.
| 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.