NPIMap

Organization Active NPI

Streator Unlimited Inc

  • Developmentally Disabled Services Day Training Agency
  • Streator, IL
National Provider Identifier
1114117231
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
001 Issued in IL
Legal business name
STREATOR UNLIMITED INC
Practice address
305 N Sterling St
Streator, IL 61364-2369
Phone
(815) 673-5574
Fax
(815) 673-1714
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Jeffrey Mark Dean, LNHA
Title
Executive Director
Phone
(815) 673-5574

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 001 IL Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0024265 IL
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 916062 IL
Non-emergency Medical Transport (VAN) 343900000X 002 IL

Addresses

Primary practice location

305 N Sterling St
Streator, IL 61364-2369

Mailing address

PO Box 706
305 N Sterling St
Streator, IL 61364-2369
Phone (815) 673-5574

National Provider Directory

National Provider Directory

Locations

305 N Sterling St
Streator, IL 61364
Phone (815) 673-5574

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114117231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "address_2": "305 N STERLING ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642369",
            "telephone_number": "815-673-5574",
            "fax_number": "815-673-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N STERLING ST",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642369",
            "telephone_number": "815-673-5574",
            "fax_number": "815-673-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREATOR UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-673-5574",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "001",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0024265",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "916062",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streator, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.