RAY GRAHAM ASSOCIATION (NPI# 1962856831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962856831 |
| Entity Type | Organization |
| Organization Name | RAY GRAHAM ASSOCIATION |
| Practice Address |
901 Warrenville Rd Suite 500 Lisle IL 60532-4301 |
| Practice Telephone | 6306202222 |
| Practice Fax Number | 6306281488 |
| Mailing Telephone | 6306202222 |
| Mailing Fax Number | 6306281488 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | KIMBERLY ZOELLER (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6306287255 |
| 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 | 199100030C | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1871947747 | Ray Graham Association | Case Management | 901 Warrenville Rd, Suite 500, Lisle, IL 60532-4301 | 2016-04-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RAY GRAHAM ASSOCIATION FOR PEOPLE WITH DISABILITIES | 901 Warrenville Rd Ste 500, Lisle, IL 60532-4319 |
| Street Address |
901 WARRENVILLE RD SUITE 500 |
| City | LISLE |
| State | IL |
| Zip Code | 60532-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1871947747 | Ray Graham Association | Case Management | 901 Warrenville Rd, Suite 500, Lisle, IL 60532-4301 | 2016-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.