NPIMap

Organization Active NPI

Marklund Children'S Home

  • Intellectual Disabilities Intermediate Care Facility
  • Geneva, IL
National Provider Identifier
1609320761
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MARKLUND CHILDREN'S HOME
Practice address
1S450 Wyatt Dr
Geneva, IL 60134-4921
Phone
(630) 593-5500
NPI assigned
Aug 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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

Authorized official

Name
Mr. Gilbert W Fonger
Title
Ceo/Presidnet
Phone
(630) 593-5476

Specialties & licenses 1

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

Addresses

Primary practice location

1S450 Wyatt Dr
Geneva, IL 60134-4921

Mailing address

1S450 Wyatt Dr
Geneva, IL 60134-4921

National Provider Directory

National Provider Directory
Tax ID family
Marklund Richard Home11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1470441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470441600000",
    "number": "1609320761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S450 WYATT DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S450 WYATT DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344921",
            "telephone_number": "630-593-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKLUND CHILDREN'S HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-06",
        "last_updated": "2016-08-06",
        "status": "A",
        "authorized_official_last_name": "FONGER",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/PRESIDNET",
        "authorized_official_telephone_number": "630-593-5476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

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