NPIMap

Organization Active NPI

Adapt of Illinois, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Swansea, IL
National Provider Identifier
1346532900
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
04003 Issued in IL
Legal business name
ADAPT OF ILLINOIS, INC.
Practice address
517 Catawba Ave
Swansea, IL 62226-1659
Phone
(877) 553-9440
Fax
(312) 553-9441
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ADAPT OF AMERICAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Cynthia Janicak, MS
Title
Executive Director
Phone
(877) 553-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 04003 IL Primary

Addresses

Primary practice location

517 Catawba Ave
Swansea, IL 62226-1659

Mailing address

105 W Madison St Ste 1600
Chicago, IL 60602-4652
Phone (877) 553-9440

National Provider Directory

National Provider Directory
Tax ID family
Adapt of Illinois Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1346532900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MADISON ST STE 1600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606024652",
            "telephone_number": "877-553-9440",
            "fax_number": "312-553-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CATAWBA AVE",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261659",
            "telephone_number": "877-553-9440",
            "fax_number": "312-553-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAPT OF ILLINOIS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAPT OF AMERICA",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "JANICAK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "877-553-9440",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "IL",
            "license": "04003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.