Organization Active NPI

Teresa'S Place Adult Daycare Center Incorporated

  • Adult Day Care Clinic/Center
  • Glen Ellyn, IL
National Provider Identifier
1104765122
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
TERESA'S PLACE ADULT DAYCARE CENTER INCORPORATED
Practice address
931 N Main St
Glen Ellyn, IL 60137-3674
Phone
(331) 462-9136
NPI assigned
Mar 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Mrs. Latanya Y Owens, MBA, MPM, MISM, M.ED
Title
Founder/Executive Director
Phone
(331) 462-9136

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

931 N Main St
Glen Ellyn, IL 60137-3674

Mailing address

1183 Londonberry LN
Glen Ellyn, IL 60137-6109
Phone (331) 462-9136

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1104765122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 LONDONBERRY LN",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376109",
            "telephone_number": "331-462-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 N MAIN ST",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601373674",
            "telephone_number": "331-462-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA'S PLACE ADULT DAYCARE CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "LATANYA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "331-462-9136",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, MPM, MISM, M.ED"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ellyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.