NPIMap

Organization Active NPI

The Residential Developers, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Cissna Park, IL
National Provider Identifier
1629196340
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0035279 Issued in IL
Legal business name
THE RESIDENTIAL DEVELOPERS, INC.
Practice address
310 W Enz Ave
Cissna Park, IL 60924-9795
Phone
(815) 547-2214
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sherry S Newton
Title
Ceo
Phone
(217) 398-0754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0035279 IL Primary

Addresses

Primary practice location

310 W Enz Ave
Cissna Park, IL 60924-9795

Mailing address

PO Box 6525
Champaign, IL 61826-6525
Phone (217) 398-0754

National Provider Directory

National Provider Directory
Tax ID family
The Residential Developers Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629196340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6525",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618266525",
            "telephone_number": "217-398-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W ENZ AVE",
            "city": "CISSNA PARK",
            "state": "IL",
            "postal_code": "609249795",
            "telephone_number": "815-547-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESIDENTIAL DEVELOPERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-398-0754",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0035279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cissna Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.