RESIDENTIAL OPTIONS, INC. (NPI# 1770702763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770702763 |
| Entity Type | Organization |
| Organization Name | RESIDENTIAL OPTIONS, INC. |
| Practice Address |
4710 Pierce Ln Godfrey IL 62035-4151 |
| Practice Telephone | 6184665255 |
| Practice Fax Number | 6184667450 |
| Mailing Telephone | 6184665255 |
| Mailing Fax Number | 6184667450 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | DIANE TEBBE (VP) |
| 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 | 0036814 | IL | Residential Treatment Facilities |
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PUBLIC HEALTH FACILITY ID | 6012744 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548656788 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 750 S Moreland Rd, Lot # 31, Bethalto, IL 62010-2172 | 2015-04-14 |
| 1275801037 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1033 Oakwood Ave, Alton, IL 62002-5278 | 2011-12-08 |
| 1366739716 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2463 Henry St, Alton, IL 62002-4447 | 2011-07-06 |
| 1992092340 | Residential Options, Inc. | Community/Behavioral Health | 1017 Oakwood Ave, Alton, IL 62002-5278 | 2011-07-06 |
| 1104111293 | Residential Options, Inc. | Community/Behavioral Health | 910 Esic Dr, Edwardsville, IL 62025-3812 | 2011-06-16 |
| 1336475532 | Residential Options, Inc. | Social Worker | 2121 E Grand River Ave, Lansing, MI 48912-3231 | 2009-10-22 |
| 1285860205 | Residential Options, Inc. | Community/Behavioral Health | 4452 Industrial Dr, Alton, IL 62002-5938 | 2009-06-04 |
| 1487832804 | Residential Options, Inc. | Day Training, Developmentally Disabled Services | 4 Emmie L Kaus Ln, Alton, IL 62002-8865 | 2008-02-07 |
| 1952522922 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1108 Engineer Rd, Granite City, IL 62040-2890 | 2007-05-01 |
| 1104047174 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4617 Wonderland Dr, Alton, IL 62002-7309 | 2007-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RESIDENTIAL OPTIONS, INC. | 1 Southside Rd, Danvers, MA 01923-1408 |
| Street Address |
4710 PIERCE LN |
| City | GODFREY |
| State | IL |
| Zip Code | 62035-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548775109 | Bethany E Huelskoetter | Nurse Practitioner | 6702 Godfrey Road, Godfrey, IL 62035 | 2017-12-05 |
| 1720448806 | Sarah Gieszelmann | Nurse Practitioner | 5520 Godfrey Rd Ste B, Godfrey, IL 62035 | 2016-03-02 |
| 1629457536 | Callie Ann Feldman | Occupational Therapy Assistant | 1373 D'adrian Professional Park, Godfrey, IL 62035 | 2015-05-26 |
| 1962767038 | Win U Care for Health | Dietetic Technician, Registered | 321 Big Arch Rd., Godfrey, IL 62035 | 2012-07-05 |
| 1790049831 | Julia Lynn Phillips | Dietetic Technician, Registered | 321 Big Arch Rd, Godfrey, IL 62035 | 2012-07-03 |
| 1578729810 | Home and Environments for Living and Programs | Intermediate Care Facility, Mentally Retarded | 110 N Alby Court, Godfrey, IL 62035 | 2008-08-06 |
| 1497960777 | Joanne T Schulmeister | Dentist | 1203 West Delmar, Godfrey, IL 62035 | 2007-05-11 |
| 1760522965 | Lori Behrens | Social Worker | 5090 Humbert Road, Godfrey, IL 62035 | 2007-02-07 |
| 1699868257 | Beverly Enterprises - Illinois, Inc. | Skilled Nursing Facility | 1623 W. Delmar, #29, Godfrey, IL 62035 | 2006-10-02 |
| 1326147802 | Kymberly Barnard | Speech-Language Pathologist | 6501 Timber Ridge Ln, Godfrey, IL 62035 | 2006-09-21 |
| Find all providers in zip 62035 | ||||
| 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 |
|---|---|---|---|---|
| 1578729810 | Home and Environments for Living and Programs | Intermediate Care Facility, Mentally Retarded | 110 N Alby Court, Godfrey, IL 62035 | 2008-08-06 |
| 1376618082 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 212 Bachman Ln, Godfrey, IL 62035-2122 | 2006-11-21 |
| 1093880700 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 224 Bachman Ln, Godfrey, IL 62035-2122 | 2006-11-21 |
| 1568537272 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 314 Bachman Ln, Godfrey, IL 62035-2123 | 2006-11-21 |
| 1902971617 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 320 Bachman Ln, Godfrey, IL 62035-2123 | 2006-11-21 |
| 1710051545 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 302 Bachman Ln, Godfrey, IL 62035-2123 | 2006-11-20 |
| 1265506091 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 308 Bachman Ln, Godfrey, IL 62035-2123 | 2006-11-20 |
| 1174696157 | Beverly Farm Foundation | Intermediate Care Facility, Mentally Retarded | 6301 Humbert Rd, Godfrey, IL 62035-2163 | 2006-11-16 |
| 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 |
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| 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 | ||||
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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.