NPIMap

Organization Active NPI

Home and Environments for Living and Programs

  • Intellectual Disabilities Intermediate Care Facility
  • Springfield, IL
National Provider Identifier
1255587408
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1870187 Issued in IL
Legal business name
HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS
Practice address
50 Adloff LN
Springfield, IL 62703-4402
Phone
(217) 786-3109
Fax
(217) 786-3784
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Ms. Catherine A Brookshire
Title
Administrator
Phone
(217) 529-9632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1870187 IL Primary

Addresses

Primary practice location

50 Adloff LN
Springfield, IL 62703-4402

Mailing address

40 Adloff LN Ste 5
Springfield, IL 62703-4496
Phone (217) 529-9632

Other names 1

  • Adloff Place Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Adloff Place6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

40 Adloff Ln
Ste 5
Springfield, IL 62703

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1255587408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ADLOFF LN STE 5",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034496",
            "telephone_number": "217-529-9632",
            "fax_number": "217-529-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ADLOFF LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627034402",
            "telephone_number": "217-786-3109",
            "fax_number": "217-786-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME AND ENVIRONMENTS FOR LIVING AND PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BROOKSHIRE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-529-9632",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "1870187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adloff Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.