Rehabilitation and Vocational Education Program, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

00S001 Issued in IL

Legal business name

REHABILITATION AND VOCATIONAL EDUCATION PROGRAM, INC.

Practice address

214 W Davie St
Anna, IL 62906-1237

Phone

(618) 833-8525

Fax

(618) 833-4222

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary L. Griffith, L.N.H.A.

Title

C.E.O.

Phone

(618) 833-5344

Specialties & licenses 1

Addresses

Other names 1

• R.A.V.E., Inc. Other name

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225167075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W DAVIE ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061237",
            "telephone_number": "618-833-8525",
            "fax_number": "618-833-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W DAVIE ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061237",
            "telephone_number": "618-833-8525",
            "fax_number": "618-833-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION AND VOCATIONAL EDUCATION PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "618-833-5344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.N.H.A."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "00S001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.A.V.E., Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Anna, IL
• Providers in Anna, IL by specialty
• Developmentally Disabled Services Day Training Agency 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.