Organization Active NPI

Cornell Interventions, LLC

  • Substance Abuse Rehabilitation Facility
  • Woodridge, IL
National Provider Identifier
1154471159
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
A89810010A Issued in IL
Legal business name
CORNELL INTERVENTIONS, LLC
Practice address
2221 64TH St
Woodridge, IL 60517-2180
Phone
(630) 968-6477
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Jon Swatsburg
Title
President
Phone
(412) 201-4112

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-8981-0010-A IL
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X A-8981-0011-A IL
Substance Abuse Rehabilitation Facility 324500000X A89810010A IL Primary
Substance Abuse Rehabilitation Facility 324500000X A89810011A IL
Substance Abuse Rehabilitation Facility 324500000X A-8981-0010-A IL
Substance Abuse Rehabilitation Facility 324500000X A8981-0011-A IL
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2221 64TH St
Woodridge, IL 60517-2180

Mailing address

2840 Liberty Ave
Pittsburgh, PA 15222-4775
Phone (630) 968-6477

Other names 2

  • Cornell Companies Former legal business name
  • Cornell Interventions, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cornell Companies14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2840 Liberty Ave
Pittsburgh, PA 15222
Phone (412) 212-3182

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1154471159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 LIBERTY AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152224775",
            "telephone_number": "630-968-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 64TH ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172180",
            "telephone_number": "630-968-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL INTERVENTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "SWATSBURG",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-201-4112"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-8981-0010-A",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": "A-8981-0011-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A89810010A",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A89810011A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A-8981-0010-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A8981-0011-A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornell Companies",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Cornell Interventions, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.