Riverside Foundation

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

0022988 Issued in IL

Legal business name

RIVERSIDE FOUNDATION

Practice address

14588 W Highway 22
Riverside Foundation
Lincolnshire, IL 60069

Phone

(847) 634-3973

Fax

(847) 634-0227

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Pete Mule

Title

Executive Director

Phone

(847) 634-3973

Specialties & licenses 1

Addresses

Tax ID family

Riverside Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Riverside Foundation

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lincolnshire, IL
  • NPI 1730621871
  NPD tax ID

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154345676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14588 W HIGHWAY 22",
            "address_2": "RIVERSIDE FOUNDATION",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "60069",
            "telephone_number": "847-634-3973",
            "fax_number": "847-634-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14588 W HIGHWAY 22",
            "address_2": "RIVERSIDE FOUNDATION",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "60069",
            "telephone_number": "847-634-3973",
            "fax_number": "847-634-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULE",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-634-3973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "0022988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill M Reed, CCC-SLP
• Maria D Reichert, M.A., CCC-SLP
• Reliable Home Care Providers Inc
• Lenel Colleen Reuther, LPC
• David M. Riniker, MS, OTR/L, CHT
• Riverside Foundation
• Daniel Rogowski
• Nancy Ann Romanchek, MPH, BSN, RN-C, CHPN
• Emily Sadie Rubenstein, D.O
• Casey Russell, DPT

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Lincolnshire, IL
• Providers in Lincolnshire, IL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.