NPIMap

Organization Active NPI

Warren Achievement Center Inc

  • Physical Disabilities Residential Treatment Facility
  • Monmouth, IL
National Provider Identifier
1295870137
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
WARREN ACHIEVEMENT CENTER INC
Practice address
1220 East Second Avenue
Monmouth, IL 61462
Phone
(309) 734-3131
Fax
(309) 734-7114
NPI assigned
Feb 20, 2007
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Mr. Michael A Lewis
Title
President
Phone
(309) 734-3131

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Physical Disabilities Residential Treatment Facility 320700000X Primary
Non-emergency Medical Transport (VAN) 343900000X 01-005-939 IL
Private Vehicle 347C00000X 01-005-939 IL

Addresses

Primary practice location

1220 East Second Avenue
Monmouth, IL 61462

Mailing address

1220 East Second Avenue
Monmouth, IL 61462
Phone (309) 734-3131

National Provider Directory

National Provider Directory
Tax ID family
Warren Achievement Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1220 E 2nd Ave
Monmouth, IL 61462
Phone (309) 734-3131

Practitioners & affiliated clinicians

Practitioners 3

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1295870137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 EAST SECOND AVENUE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "61462",
            "telephone_number": "309-734-3131",
            "fax_number": "309-734-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 EAST SECOND AVENUE",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "61462",
            "telephone_number": "309-734-3131",
            "fax_number": "309-734-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN ACHIEVEMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-734-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "01-005-939",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "IL",
            "license": "01-005-939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.