NPIMap

Organization Active NPI

Advancement TX

  • Home Health Agency
  • Matteson, IL
National Provider Identifier
1376868075
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
057.003214 Issued in IL
Legal business name
ADVANCEMENT TX
Practice address
122 Town Center Rd
Suite 201
Matteson, IL 60443-2251
Phone
(800) 430-8150
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Shawnise Taylor
Title
Speech Language Pathologist/Owner
Phone
(800) 430-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 057.003214 IL Primary

Addresses

Primary practice location

122 Town Center Rd
Suite 201
Matteson, IL 60443-2251

Mailing address

4710 Lincoln Hwy Ste 263
Matteson, IL 60443-2316
Phone (800) 430-8150

National Provider Directory

National Provider Directory
Tax ID family
Advancement TX2 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.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1376868075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 LINCOLN HWY STE 263",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432316",
            "telephone_number": "800-430-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 TOWN CENTER RD",
            "address_2": "SUITE 201",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432251",
            "telephone_number": "800-430-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCEMENT TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SHAWNISE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "800-430-8150"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "057.003214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.