Achievement Unlimited Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Galesburg, IL
NPI 1184896532 · NPPES record last updated Dec 21, 2015
Key facts
- NPI
- 1184896532
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- License
- 199800002S (IL)
- Legal business name
- ACHIEVEMENT UNLIMITED INC
- Practice address
- 285 South Farnham Street
Galesburg, IL 61401-5323 - Phone
- (309) 343-1550
- Fax
- (309) 343-6318
- NPI assigned
- Mar 26, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Ronald J Wilson
- Title
- Authorized Agent
- Phone
- (309) 343-1550
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0945001 | Achievement Unlimited Inc | Certificate of waiver | Apr 22, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 199800002S | IL | Yes |
Addresses
Primary practice location
285 South Farnham Street
Galesburg, IL 61401-5323
Mailing address
285 South Farnham Street
Galesburg, IL 61401-5323
Phone (309) 343-1550
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.