NPIMap

Organization Active NPI

The Learning Ladder of Kankakee County

  • Early Intervention Provider Agency
  • Bourbonnais, IL
National Provider Identifier
1255705893
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
THE LEARNING LADDER OF KANKAKEE COUNTY
Practice address
598 Spring Park Loop
Bourbonnais, IL 60914-4968
Phone
(815) 671-7092
Fax
(888) 978-5139
NPI assigned
Nov 19, 2015
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Mrs. Cynthia Lyn Mallard, BACHELORS
Title
Developmental Therapist
Phone
(815) 671-7092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

598 Spring Park Loop
Bourbonnais, IL 60914-4968

Mailing address

598 Spring Park Loop
Bourbonnais, IL 60914-4968
Phone (815) 671-7092

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1255705893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 SPRING PARK LOOP",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144968",
            "telephone_number": "815-671-7092",
            "fax_number": "888-978-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 SPRING PARK LOOP",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144968",
            "telephone_number": "815-671-7092",
            "fax_number": "888-978-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEARNING LADDER OF KANKAKEE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DEVELOPMENTAL THERAPIST",
        "authorized_official_telephone_number": "815-671-7092",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BACHELORS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.