Association for the Developmentally Disabled of Woodford County

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

199600006S Issued in IL

Legal business name

ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED OF WOODFORD COUNTY

Practice address

200 Moody St
Eureka, IL 61530-1705

Phone

(309) 467-3015

Fax

(309) 467-5206

NPI assigned

Aug 26, 2015

Last updated

Aug 26, 2015By 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. Keith McArdle

Title

President/Ceo

Phone

(309) 467-3015

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Meagan Bartley

  • Behavior Analyst
  • Bloomington, IL
  • NPI 1811755473
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1225405137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOODY ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301705",
            "telephone_number": "309-467-3015",
            "fax_number": "309-467-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOODY ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301705",
            "telephone_number": "309-467-3015",
            "fax_number": "309-467-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION FOR THE DEVELOPMENTALLY DISABLED OF WOODFORD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MCARDLE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "309-467-3015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "199600006S",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "199600006S",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "199600006S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advocate Health and Hospitals Corp. (Advocate Eureka Community Hospital Urgent Care)
• Brandon W. Ahlers, CRNA
• Apostolic Christian Home of Eureka
• Sheri J Baker, PT
• Balanced
• Ashley Bauman
• Jennifer Boehs, LCSW
• Michael Stephen Borzello, DDS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Eureka, IL
• Providers in Eureka, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.