Organization Active NPI

American Residential Care,Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Schaumburg, IL
National Provider Identifier
1093930059
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
95C006 Issued in IL
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

Updated by the provider on Jul 12, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
95C006OtherILDEPT. HUMAN SERVICES

National Provider Directory

National Provider Directory
Tax ID family
American Residential Careinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.