NPIMap

Organization Active NPI

Specialized Developments, LTD.

  • Intellectual Disabilities Intermediate Care Facility
  • University Park, IL
National Provider Identifier
1629197074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0041335 Issued in IL
Legal business name
SPECIALIZED DEVELOPMENTS, LTD.
Practice address
555 Burnham Dr
University Park, IL 60466-2729
Phone
(708) 534-5821
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Sherry S Newton
Title
Ceo
Phone
(217) 398-0754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0041335 IL Primary

Addresses

Primary practice location

555 Burnham Dr
University Park, IL 60466-2729

Mailing address

PO Box 3275
Champaign, IL 61826-3275
Phone (217) 398-0754

National Provider Directory

National Provider Directory
Tax ID family
Specialized Developments LTD2 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.

Locations

555 Burnham Dr
University Pk, IL 60484
Phone (708) 534-5821

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629197074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3275",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618263275",
            "telephone_number": "217-398-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BURNHAM DR",
            "city": "UNIVERSITY PARK",
            "state": "IL",
            "postal_code": "604662729",
            "telephone_number": "708-534-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED DEVELOPMENTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "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": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0041335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University 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.