NPIMap

Organization Active NPI

Shapiro Developmental Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Kankakee, IL
National Provider Identifier
1063530699
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SHAPIRO DEVELOPMENTAL CENTER
Practice address
100 E Jeffery St
Kankakee, IL 60901-5018
Phone
(815) 939-8201
Fax
(815) 939-8266
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ira L Collins
Title
Facility Director
Phone
(815) 939-8201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X IL Primary

Addresses

Primary practice location

100 E Jeffery St
Kankakee, IL 60901-5018

Mailing address

100 E Jeffery St
Kankakee, IL 60901-5018
Phone (815) 939-8201

National Provider Directory

National Provider Directory
Tax ID family
Howe Center - Unit 4264292 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063530699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E JEFFERY ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015018",
            "telephone_number": "815-939-8201",
            "fax_number": "815-939-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E JEFFERY ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015018",
            "telephone_number": "815-939-8201",
            "fax_number": "815-939-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPIRO DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "815-939-8201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.