Motivating Individuals for Learning and Living

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

401288-04 Issued in IL

Legal business name

MOTIVATING INDIVIDUALS FOR LEARNING AND LIVING

Doing business as

The Mill

Practice address

3445 Elmwood Rd
Rockford, IL 61101-9529

Phone

(815) 282-7741

Fax

(815) 636-5041

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James L Spruyt

Title

President/Ceo

Phone

(815) 282-7741

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Mill Doing business as

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225086770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 ELMWOOD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611019529",
            "telephone_number": "815-282-7741",
            "fax_number": "815-636-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 ELMWOOD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611019529",
            "telephone_number": "815-282-7741",
            "fax_number": "815-636-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTIVATING INDIVIDUALS FOR LEARNING AND LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPRUYT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "815-282-7741",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "401288-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B05-CHR-042",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Rockford, IL
• Providers in Rockford, IL by specialty
• Emotionally Disturbed Childrens' 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.