WABASH AREA VOCATIONAL ENTERPRISES, INC. (NPI# 1740488139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740488139 |
| Entity Type | Organization |
| Organization Name | WABASH AREA VOCATIONAL ENTERPRISES, INC. |
| Practice Address |
1420 West Third Street Mt. Carmel IL 62863 |
| Practice Telephone | 6182628614 |
| Mailing Telephone | 6182628614 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2015-06-18 |
| Authorized Official Name | DAVID M ROBERTS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6182628614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1420 WEST THIRD STREET |
| City | MT. CARMEL |
| State | IL |
| Zip Code | 62863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295200319 | Beth Marie Fischer | Physician Assistant | 1527 College Dr., Mt. Carmel, IL 62863 | 2018-10-04 |
| 1386194744 | Kayla Marie Wilcox | Physician Assistant | 1527 College Drive, Mt. Carmel, IL 62863 | 2016-10-10 |
| 1144495961 | Karsten B Slater | Family Medicine | 1527 College Dr, Mount Carmel, IL 62863 | 2008-04-23 |
| 1417147760 | Keesha L. Peterson | Speech-Language Pathologist | 1418 College Drive, Physical Medicine Department, Mount Carmel, IL 62863 | 2007-08-01 |
| 1972649390 | David Ray Miller | Dentist | 325 East 13th Street, Mount Carmel, IL 62863 | 2007-01-30 |
| 1356406748 | Enrique V Bouffard IIi | Radiology | 326 West 3rd St, Mt Carmel, IL 62863 | 2006-12-26 |
| 1417028168 | General Baptist Nursing Home of Illinois | Skilled Nursing Facility | 1320 W. 9th Street, Mt. Carmel, IL 62863 | 2006-11-13 |
| 1316055130 | Richland Radiology Ltd | Clinic/Center | 326 W 3rd Street, Mount Carmel, IL 62863 | 2006-08-29 |
| 1760986392 | Deaconess Specialty Physicians, Inc | Internal Medicine | 1418 College Dr, Mount Carmel, IL 62863 | 2018-03-20 |
| 1588053243 | Amber Nickol | Counselor | 1001 N Market St, Mount Carmel, IL 62863 | 2015-01-20 |
| Find all providers in zip 62863 | ||||
| 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 | MT. CARMEL |
| Zip Code | 62863 |
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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.