RESIDENTIAL OPTIONS, INC. (NPI# 1952522922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952522922 |
Entity Type | Organization |
Organization Name | RESIDENTIAL OPTIONS, INC. |
Practice Address |
1108 Engineer Rd Granite City IL 62040-2890 |
Practice Telephone | 6187972320 |
Practice Fax Number | 6187971745 |
Mailing Telephone | 6187972320 |
Mailing Fax Number | 6187971745 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SUSAN L STAFSTROM (ACCOUNTING MANAGER) |
Authorized Official Telephone | 6184650044 |
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 | 0036210 | IL | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | PUBLIC HEALTH FACILITY ID | 6012546 | 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 |
1104047174 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4617 Wonderland Dr, Alton, IL 62002-7309 | 2007-05-01 |
1770702763 | Residential Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4710 Pierce Ln, Godfrey, IL 62035-4151 | 2007-04-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | RESIDENTIAL OPTIONS, INC. | 1 Southside Rd, Danvers, MA 01923-1408 |
Street Address |
1108 ENGINEER RD |
City | GRANITE CITY |
State | IL |
Zip Code | 62040-2890 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043736705 | Christine S Bieniecki Canada | Speech-Language Pathologist | 2300 West 25th St, Granite City, IL 62040 | 2017-08-15 |
1881085819 | James Watson | Counselor | 50 Northgate Industrial Drive, Granite City, IL 62040 | 2015-02-12 |
1518208719 | Chestnut Health Systems | Clinic/Center | 110 Northagte Industrial Drive, Granite City, IL 62040 | 2013-03-13 |
1952651697 | Victor Manuel Pinones | Dentist | 2130 Johnson Rd., Granite City, IL 62040 | 2012-09-10 |
1427360502 | Erin K Boerm | Occupational Therapist | 3540 Village Lane, Granite City, IL 62040 | 2010-07-06 |
1659503027 | Toni Lyn Siler | Counselor | 101 Whitsell Way, Apt 102, Pontoon Beach, IL 62040 | 2009-08-18 |
1871741462 | Fountain View Manor LLC | Alzheimer Center (Dementia Center) | 3432 Village Lane, Granite City, IL 62040 | 2008-09-08 |
1083880595 | Christina Marie Darin | Chiropractor | 2013 Johnson Road, Suite C & D, Granite City, IL 62040 | 2008-05-05 |
1629244322 | Julia Elaine Uhring Green | Counselor | 2429 Washinton Ave, Granite City, IL 62040 | 2008-05-02 |
1578786117 | John K Parker | Preventive Medicine | Veeder Health Center, 20th and Iowa, Granite City, IL 62040 | 2007-04-11 |
Find all providers in zip 62040 |
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 |
---|---|---|---|---|
1316166382 | Residential Options | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 56 Chouteau Trace Pkwy, Granite City, IL 62040-6710 | 2007-04-25 |
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 | GRANITE CITY |
Zip Code | 62040 |
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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.