Malcolm Eaton Enterprises

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

95C002 Issued in IL

Legal business name

MALCOLM EATON ENTERPRISES

Practice address

570 W Lamm Rd
Freeport, IL 61032-9629

Phone

(815) 235-7181

Fax

(815) 235-7180

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harol D Sherman Anderson

Title

Business Manager

Phone

(815) 235-7181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336199892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 W LAMM RD",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329629",
            "telephone_number": "815-235-7181",
            "fax_number": "815-235-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W LAMM RD",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329629",
            "telephone_number": "815-235-7181",
            "fax_number": "815-235-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM EATON ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "HAROL D",
        "authorized_official_middle_name": "SHERMAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "815-235-7181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "95C002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Lyons, PTA
• Jeffrey Thomas Lyrenmann, ATC, CSCS, PES
• Madison Vamc
• Edward D Maglietta, MD
• Magna Medical Solutions
• Madhusudan R Malladi, MD
• Julie Marcure, LMT
• Sarah E Marsh, APN FNP-BC
• Sarah Marshall
• Jesus I Martinez, MD

• Developmentally Disabled Services Day Training Agency in Freeport, IL
• Providers in Freeport, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.