NPIMap

Organization Active NPI

Residential Options, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Collinsville, IL
National Provider Identifier
1285860452
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
94S229 Issued in IL
Legal business name
RESIDENTIAL OPTIONS, INC
Practice address
1282 Ridgewood CT
Collinsville, IL 62234-4146
Phone
(618) 346-1360
Fax
(618) 346-1363
NPI assigned
Jun 2, 2009
Last updated
Jun 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Diane Tebbe
Title
Vice President
Phone
(618) 465-0044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 94S229 IL Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 94S229 IL

Addresses

Primary practice location

1282 Ridgewood CT
Collinsville, IL 62234-4146

Mailing address

4 Emmie L Kaus LN
Alton, IL 62002-8865
Phone (618) 465-0044

National Provider Directory

National Provider Directory
Tax ID family
Residential Options Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1285860452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EMMIE L KAUS LN",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620028865",
            "telephone_number": "618-465-0044",
            "fax_number": "618-462-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 RIDGEWOOD CT",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344146",
            "telephone_number": "618-346-1360",
            "fax_number": "618-346-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL OPTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "TEBBE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-465-0044"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "94S229",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "94S229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.