Active NPI
American Residential Care,Inc
- Intellectual Disabilities Intermediate Care Facility
- Schaumburg, IL
National Provider Identifier
1093930059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- License
- 95C006
- Legal business name
- AMERICAN RESIDENTIAL CARE,INC
- Practice address
- 850 E Higgins Rd
Suite # 125 - J
Schaumburg, IL 60173-5142 - Phone
- (630) 330-5100
- Fax
- (847) 517-1193
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mohan Manian, MA,MSW
- Title
- Ceo
- Phone
- (630) 339-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 95C006 | IL | Primary |
Addresses
Primary practice location
850 E Higgins Rd
Suite # 125 - J
Schaumburg, IL 60173-5142
Mailing address
850 E Higgins Rd
Suite # 125 - J
Schaumburg, IL 60173-5142
Phone (630) 330-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95C006 | Other | IL | DEPT. HUMAN SERVICES |
National Provider Directory
National Provider Directory- Tax ID family
- American Residential Careinc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Schaumburg, IL
- NPI 1023473808
Locations
850 E Higgins Rd
Ste 125J
Schaumburg, IL 60173
Phone (630) 330-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184198400000",
"number": "1093930059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 E HIGGINS RD",
"address_2": "SUITE # 125 - J",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735142",
"telephone_number": "630-330-5100",
"fax_number": "847-517-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E HIGGINS RD",
"address_2": "SUITE # 125 - J",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601735142",
"telephone_number": "630-330-5100",
"fax_number": "847-517-1193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN RESIDENTIAL CARE,INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-12",
"status": "A",
"authorized_official_last_name": "MANIAN",
"authorized_official_first_name": "MOHAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-339-5100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA,MSW"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "IL",
"license": "95C006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. HUMAN SERVICES",
"identifier": "95C006",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.