ASHLEE HERBOLD


Address: 1718 N 2525th Rd, Ottawa, IL 61350
Phone: 8154340737

ASHLEE HERBOLD (NPI# 1881071272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881071272
Entity Type Individual
Full Name ASHLEE HERBOLD
Practice Address 1718 N 2525th Rd
Ottawa
IL 61350
Mailing Address 1718 N 2525th Rd
Ottawa
IL 61350-9329
Practice Telephone 8154340737
Mailing Telephone 8154340737
Enumeration Date 2015-05-05
Last Update Date 2018-07-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 1718 N 2525TH RD
City OTTAWA
State IL
Zip Code 61350

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306336359 Yulandist Jeannie Brown Licensed Practical Nurse 617 Columbus St, Ottawa, IL 61350 2018-05-15
1053702365 Wanda Rohl Social Worker 3735 E 1453 Rd, Ottawa, IL 61350 2015-02-09
1538550868 Erin Rose Boe Physical Therapist 2872 Columbus St, Unit 300, Ottawa, IL 61350 2015-02-09
1346572757 Rebecca Samolitis Counselor 116 W Lafayette St, Suite 8, Ottawa, IL 61350 2010-02-10
1235383266 Timothy I Miller O.d. P.C. Optometrist 107 E. Mckinley Rd., Ottawa, IL 61350 2008-11-04
1427204676 Leo John Meagher Counselor 218 West Madison St, Ottawa, IL 61350 2008-08-07
1598938755 Radiation Oncology of Northern Illinois LLC Radiology 1200 Starfire Dr, Ottawa, IL 61350 2008-04-09
1154538510 Serenityonwheels, Inc. Counselor Serenity On Wheels, Inc. 630 Columbus Street, Ste # 214, Ottawa, IL 61350 2007-05-16
1205040904 Dixie Devry Occupational Therapist 2532 Reynolds Manor, Ottawa, IL 61350 2007-05-10
1346453636 John C Harbeck Dds PC Dentist 1210 W Madison St, Ottawa, IL 61350 2007-05-07
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023466489 Ottawa Friendship House Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 810 W Main St, Ottawa, IL 61350-2679 2016-05-26

Providers in the same taxonomy and state

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
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Competitor

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City OTTAWA
Zip Code 61350

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Dataset Information

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.

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