Enriching Creative Minds Early Intervention LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ENRICHING CREATIVE MINDS EARLY INTERVENTION LLC

Practice address

557 S Canyon Dr
Romeoville, IL 60446-4309

Phone

(708) 257-2781

Fax

(815) 524-5718

NPI assigned

Jul 1, 2019

Organization subpart

No

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

Authorized official

Name

Lorelle Beaugard

Title

Developmental Therapist

Phone

(708) 257-2781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1235791112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605440703",
            "telephone_number": "708-257-2781",
            "fax_number": "815-524-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 S CANYON DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604464309",
            "telephone_number": "708-257-2781",
            "fax_number": "815-524-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHING CREATIVE MINDS EARLY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "BEAUGARD",
        "authorized_official_first_name": "LORELLE",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "708-257-2781"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Romeoville, IL
• Providers in Romeoville, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.