SPRINGFIELD DEVELOPMENTAL CENTER (NPI# 1952775058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952775058 |
Entity Type | Organization |
Organization Name | SPRINGFIELD DEVELOPMENTAL CENTER |
Practice Address |
4595 Laverna Rd Springfield IL 62707-9732 |
Practice Telephone | 2175258271 |
Practice Fax Number | 2175255801 |
Mailing Telephone | 2175258271 |
Mailing Fax Number | 2175255801 |
Enumeration Date | 2015-11-30 |
Last Update Date | 2015-11-30 |
Authorized Official Name | KATHI CLARK (DIRECTOR) |
Authorized Official Telephone | 2175258271 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Street Address |
4595 LAVERNA RD |
City | SPRINGFIELD |
State | IL |
Zip Code | 62707-9732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730405051 | Bret Lee Miller | Pharmacist | 3250 Clear Lake Ave, Springfield, IL 62707 | 2010-04-12 |
1740402890 | Bennie Joe Manley | Counselor | 3200 Shaler Road, Springfield, IL 62707 | 2007-05-02 |
1568493336 | Andrea N. Johnson | Counselor | 3270 Moore Rd, Springfield, IL 62707-2515 | 2006-07-06 |
1376184820 | Kevin Polk | Marriage & Family Therapist | 350 Bourbon St, Springfield, IL 62707-2702 | 2019-10-07 |
1205050192 | Amaretta Marie Gilmer | Speech-Language Pathologist | 4046 Mcconnell Ct, Springfield, IL 62707-3018 | 2007-04-12 |
1376766204 | Marcia H. Bunchman | Speech-Language Pathologist | 34 Cabin Smoke Trl, Springfield, IL 62707-4509 | 2007-04-10 |
1205027026 | Christie M Davis | Physical Therapist | 51 Frontier Lake Dr, Springfield, IL 62707-7726 | 2007-08-06 |
1912975160 | Harold Jay Bruninga | Ophthalmology | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2006-03-12 |
1982044889 | Stouffer Clinical Counseling & Consulting LLC | Community/Behavioral Health | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
1407296395 | Kevin R Stouffer | Counselor | 900 Capital Airport Dr, Springfield, IL 62707-8410 | 2013-06-25 |
Find all providers in zip 62707 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841719689 | The Arc of Union County, Inc. | Day Training, Developmentally Disabled Services | 70 Diamond Rd # Dcf, Springfield, NJ 07081-3119 | 2017-09-13 |
1730608571 | The Arc of Union County, Inc. | Day Training, Developmentally Disabled Services | 70 Diamond Rd # Supports, Springfield, NJ 07081-3119 | 2017-09-13 |
1528419769 | Weber Care Corporation | Day Training, Developmentally Disabled Services | 2520 Saint James Rd, Springfield, IL 62707-9736 | 2016-06-29 |
1801244363 | Land of Lincoln Goodwill Industries | Day Training, Developmentally Disabled Services | 1220 Outer Park Dr, Springfield, IL 62704-4409 | 2016-05-25 |
1245610310 | The Arc of Union County | Day Training, Developmentally Disabled Services | 54 Fadem Rd, Springfield, NJ 07081-3116 | 2015-06-04 |
1427438597 | The Arc of Union County | Day Training, Developmentally Disabled Services | 60 Diamond Rd, Springfield, NJ 07081-3114 | 2015-06-04 |
1902286214 | The Arc of Union County | Day Training, Developmentally Disabled Services | 70 Diamond Rd, Springfield, NJ 07081-3119 | 2015-06-02 |
1558798322 | Sunshine Village, Inc. | Day Training, Developmentally Disabled Services | 585 E. Columbus Ave, Springfield, MA 01103 | 2013-10-10 |
1720383789 | Rivendale Learning Institue | Day Training, Developmentally Disabled Services | 1613 W Elfindate Road, Springfield, MO 65807 | 2011-01-21 |
1841469178 | The Association for Community Living | Day Training, Developmentally Disabled Services | 1 Carando Dr Ste 2, Springfield, MA 01104-3211 | 2008-02-20 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62707 |
Please comment or provide details below to improve the information on SPRINGFIELD DEVELOPMENTAL CENTER.
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.