Parents and Friends of SLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PARENTS AND FRIENDS OF SLC

Practice address

1450 Caseyville Ave
Swansea, IL 62226-4517

Phone

(618) 277-7730

Fax

(618) 277-5423

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Krystal Gruenenfelder

Title

Administrator

Phone

(618) 277-7730

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470009600000",
    "number": "1235323841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 CASEYVILLE AVE",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622264517",
            "telephone_number": "618-277-7730",
            "fax_number": "618-277-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CASEYVILLE AVE",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622264517",
            "telephone_number": "618-277-7730",
            "fax_number": "618-277-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENTS AND FRIENDS OF SLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2016-08-01",
        "status": "A",
        "authorized_official_last_name": "GRUENENFELDER",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-277-7730",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "1725481",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Towers Counseling Services, LLC
• Pain Institute, LTD
• Pain Institute, LTD
• Karen Sue Palmer, M.S., L.C.P.C.
• Panduranga R Kini MD, LTD
• Parents and Friends of the SLC-Home 1
• Niketa Patel
• Querida Patterson
• PC Associates, LLC
• Peaceful Minds Counseling, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2016; 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.