NPIMap

Organization Active NPI

Clearbrook Center

  • Intellectual Disabilities Intermediate Care Facility
  • Arlington Heights, IL
National Provider Identifier
1356694541
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
2067958 Issued in IL
Legal business name
CLEARBROOK CENTER
Practice address
1835 W Central Rd
Arlington Heights, IL 60005-2410
Phone
(847) 870-7711
Fax
(847) 870-9926
NPI assigned
Oct 25, 2012
Organization subpart
Yes
Parent organization
CLEARBROOKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Joan Kearney
Title
VP Finance
Phone
(847) 870-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 2067958 IL Primary

Addresses

Primary practice location

1835 W Central Rd
Arlington Heights, IL 60005-2410

Mailing address

3201 Campbell St
Rolling Meadows, IL 60008-1417
Phone (847) 255-0120

National Provider Directory

National Provider Directory
Tax ID family
Clearbrook16 organizations share this tax ID, including this one
Part of
Clearbrook

Other organizations with this tax ID 15

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

View all 15

Locations

3201 Campbell St
Rolling Meadows, IL 60008
Phone (847) 255-0012

NPI Registry JSON

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1356694541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CAMPBELL ST",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081417",
            "telephone_number": "847-255-0120",
            "fax_number": "847-870-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052410",
            "telephone_number": "847-870-7711",
            "fax_number": "847-870-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARBROOK CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARBROOK",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "KEARNEY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "847-870-7711"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "2067958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.