Active NPI
Webster-Cantrell Hall
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Decatur, IL
National Provider Identifier
1114275435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- License
- 060479-11
- Legal business name
- WEBSTER-CANTRELL HALL
- Practice address
- 1220 Underwood CT
Decatur, IL 62526-1983 - Phone
- (217) 233-6811
- NPI assigned
- Aug 16, 2012
- 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. Robin J Crowe
- Title
- Chief Executive Officer
- Phone
- (217) 423-6961
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | 060479-11 | IL | Primary |
Addresses
Primary practice location
1220 Underwood CT
Decatur, IL 62526-1983
Mailing address
1942 E Cantrell St
Decatur, IL 62521-3214
Phone (217) 423-6961
National Provider Directory
National Provider Directory- Tax ID family
- Webster-Cantrell Hall
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Decatur, IL
- NPI 1518238955
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Decatur, IL
- NPI 1689633828
Locations
1942 E Cantrell St
Decatur, IL 62521
Phone (217) 423-6961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345075200000",
"number": "1114275435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1942 E CANTRELL ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625213214",
"telephone_number": "217-423-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 UNDERWOOD CT",
"city": "DECATUR",
"state": "IL",
"postal_code": "625261983",
"telephone_number": "217-233-6811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER-CANTRELL HALL",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A",
"authorized_official_last_name": "CROWE",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "217-423-6961",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "IL",
"license": "060479-11",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.