NPIMap

Organization Active NPI

Oak-Leyden Developmental Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Oak Park, IL
National Provider Identifier
1366814220
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
93C186 Issued in IL
Legal business name
OAK-LEYDEN DEVELOPMENTAL SERVICES
Practice address
411 Chicago Ave
Oak Park, IL 60302-2233
Phone
(708) 524-1050
Fax
(708) 524-2469
NPI assigned
Oct 30, 2015
Last updated
Oct 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Robert Atkinson
Title
Ceo
Phone
(708) 524-1050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 93C186 IL Primary

Addresses

Primary practice location

411 Chicago Ave
Oak Park, IL 60302-2233

Mailing address

411 Chicago Ave
Oak Park, IL 60302-2233
Phone (708) 524-1050

National Provider Directory

National Provider Directory
Tax ID family
Oak Leyden Developmental Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1366814220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022233",
            "telephone_number": "708-524-1050",
            "fax_number": "708-524-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CHICAGO AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022233",
            "telephone_number": "708-524-1050",
            "fax_number": "708-524-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK-LEYDEN DEVELOPMENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-524-1050"
    },
    "taxonomies": [
        {
            "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": "IL",
            "license": "93C186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.