Shapiro Developmental Center
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Kankakee, IL
NPI 1104943737 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104943737
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 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
Authorized official
- Name
- Mr. Ira L Collins
- Title
- Facility Director
- Phone
- (815) 939-8201
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Howe Center - Unit 4264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | IL | Yes |
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
Other providers in Kankakee, IL
- Sunny Niranjan Shah
- Lyda Shamblin
- Shapiro Developmental Center
- Shapiro Developmental Center
- Shapiro Developmental Center
- Shapiro Developmental Center
- Shapiro Developmental Center
- Shapiro Developmental Center
- Shapiro Developmental Center
- Shapiro Developmental Center
All providers in Kankakee, IL · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.