NPIMap

Organization Active NPI

The Larkin Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Elgin, IL
National Provider Identifier
1194995589
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
24728372033048 Issued in IL
Legal business name
THE LARKIN CENTER
Practice address
455 N Shady Oaks Dr
Elgin, IL 60120-4309
Phone
(847) 608-2068
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Mr. Dennis L Graf, M.A.
Title
Executive Director
Phone
(847) 695-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 24728372033048 IL Primary

Addresses

Primary practice location

455 N Shady Oaks Dr
Elgin, IL 60120-4309

Mailing address

1212 Larkin Ave
Elgin, IL 60123-6042
Phone (847) 695-5656

Other identifiers 1

IdentifierTypeStateIssuer
24728372033048OtherILDCFS CONTRACT

National Provider Directory

National Provider Directory
Tax ID family
The Larkin Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1194995589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 LARKIN AVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601236042",
            "telephone_number": "847-695-5656",
            "fax_number": "847-695-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N SHADY OAKS DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204309",
            "telephone_number": "847-608-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LARKIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-695-5656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "24728372033048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCFS CONTRACT",
            "identifier": "24728372033048",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.