Organization Active NPI

Top of the World Ranch Milan-LLC

  • Substance Abuse Rehabilitation Facility
  • Milan, IL
National Provider Identifier
1114403128
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TOP OF THE WORLD RANCH MILAN-LLC
Practice address
3333 155TH Ave
Milan, IL 61264-7607
Phone
(309) 623-4510
NPI assigned
Jul 12, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Mark Sadler
Title
Executive Director
Phone
(844) 814-8885

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2324457Top of the World Ranch, LLC3333 155TH Ave, Milan, IL 61264Certificate of waiverMay 22, 2027

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3333 155TH Ave
Milan, IL 61264-7607

Mailing address

3333 155TH Ave
Milan, IL 61264-7607
Phone (309) 623-4510

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 23, 2019.

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1114403128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 155TH AVE",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612647607",
            "telephone_number": "309-623-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 155TH AVE",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612647607",
            "telephone_number": "309-623-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP OF THE WORLD RANCH MILAN-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "SADLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "844-814-8885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.