NPIMap

Organization Active NPI

Peoria Association for Retarded Citizens Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Peoria, IL
National Provider Identifier
1184887440
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
PEORIA ASSOCIATION FOR RETARDED CITIZENS INC
Practice address
4405 W Lyons CT
Peoria, IL 61615-2808
Phone
(309) 691-3800
Fax
(309) 689-3613
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Cindy Fletcher
Title
VP, Accounting
Phone
(309) 691-3800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4405 W Lyons CT
Peoria, IL 61615-2808

Mailing address

1913 W Townline Rd
PO Box 3418
Peoria, IL 61615-1621
Phone (309) 691-3800

Other names 1

  • Lyons Other name

National Provider Directory

National Provider Directory
Tax ID family
Epic Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1184887440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 W TOWNLINE RD",
            "address_2": "PO BOX 3418",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151621",
            "telephone_number": "309-691-3800",
            "fax_number": "309-689-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W LYONS CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152808",
            "telephone_number": "309-691-3800",
            "fax_number": "309-689-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA ASSOCIATION FOR RETARDED CITIZENS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "VP, ACCOUNTING",
        "authorized_official_telephone_number": "309-691-3800"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.