NPIMap

Organization Active NPI

Ray Graham Association for People With Disabilit

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lisle, IL
National Provider Identifier
1235251448
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
916030 Issued in IL
Legal business name
RAY GRAHAM ASSOCIATION FOR PEOPLE WITH DISABILIT
Practice address
901 Warrenville Rd. Suite 500
Lisle, IL 60532
Phone
(630) 620-2222
Fax
(630) 628-1488
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Kimberly Zoeller
Title
President
Phone
(630) 620-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 916030 IL Primary

Addresses

Primary practice location

901 Warrenville Rd. Suite 500
Lisle, IL 60532

Mailing address

901 Warrenville Rd. Suite 500
Lisle, IL 60532
Phone (630) 620-2222

National Provider Directory

National Provider Directory
Tax ID family
Ray Graham Association5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

420 W Madison St
Elmhurst, IL 60126

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1235251448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WARRENVILLE RD. SUITE 500",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-620-2222",
            "fax_number": "630-620-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WARRENVILLE RD. SUITE 500",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "60532",
            "telephone_number": "630-620-2222",
            "fax_number": "630-628-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY GRAHAM ASSOCIATION FOR PEOPLE WITH DISABILIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "ZOELLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-620-2222"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "916030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.