Active NPI
Springfield Arc, Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Springfield, IL
National Provider Identifier
1295865350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SPRINGFIELD ARC, INC.
- Practice address
- 232 N Bruns LN
Springfield, IL 62702-4613 - Phone
- (217) 793-2100
- Fax
- (217) 793-2127
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carlissa Puckett
- Title
- Executive Director
- Phone
- (217) 793-2100
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
232 N Bruns LN
Springfield, IL 62702-4613
Mailing address
232 N Bruns LN
Springfield, IL 62702-4613
Phone (217) 793-2100
Other names 1
- Springfield Association for Retarded Citizens
National Provider Directory
National Provider DirectoryLocations
232 N Bruns Ln
Springfield, IL 62702
Phone (217) 793-2100
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Springfield, IL
- NPI 1780419689
-
- Behavior Analyst
- Springfield, IL
- NPI 1700693603
-
- Behavior Analyst
- Crestview, FL
- NPI 1497387807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1295865350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 N BRUNS LN",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024613",
"telephone_number": "217-793-2100",
"fax_number": "217-793-2127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 N BRUNS LN",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627024613",
"telephone_number": "217-793-2100",
"fax_number": "217-793-2127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRINGFIELD ARC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PUCKETT",
"authorized_official_first_name": "CARLISSA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "217-793-2100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Springfield Association for Retarded Citizens",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.