Maria Grosu

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

200000006C Issued in IL

Practice address

5115 Church St
Suite 100
Skokie, IL 60077-1201

Phone

(847) 677-4933

Fax

(847) 679-3973

NPI assigned

Apr 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Achieve Development Association Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Skokie, IL
  • NPI 1780031062

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD (past) Authorized official

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1548623861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 CHURCH ST",
            "address_2": "SUITE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771201",
            "telephone_number": "847-677-4933",
            "fax_number": "847-679-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 CHURCH ST",
            "address_2": "SUITE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771201",
            "telephone_number": "847-677-4933",
            "fax_number": "847-679-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSU",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "200000006C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING AGENCY",
            "identifier": "7094638",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCO PLAN",
            "identifier": "3000006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madelene L R Grimm, APN
• Jeffrey Allen Grinblatt, MD
• Karen L Grinnen, PHARMD
• Alexis Tara Grinstein, M.A., BCBA
• Edward Gronko, PA-C
• Campsie Grothendieck
• Grove of Skokie Living and Rehab Center, LLC (The Grove of Skokie Living & Rehab Center)
• Delia Mihaela Groza, APN
• Jeffrey Grubba, SA
• Joan Grubbs, RPH

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Skokie, IL
• Providers in Skokie, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.