NPIMap

Organization Active NPI

Goldie B. Floberg Center

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rockton, IL
National Provider Identifier
1639559495
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
GOLDIE B. FLOBERG CENTER
Practice address
58 W Rockton Rd
Rockton, IL 61072-1631
Phone
(815) 624-8431
NPI assigned
Jun 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
John Pingo
Title
Ceo/Bcba
Phone
(815) 624-8431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

58 W Rockton Rd
Rockton, IL 61072-1631

Mailing address

58 W Rockton Rd
Rockton, IL 61072-1631
Phone (815) 624-8431

National Provider Directory

National Provider Directory
Tax ID family
Goldie B Floberg Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

58 W Rockton Rd
Rockton, IL 61072
Phone (815) 624-8431

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1639559495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 W ROCKTON RD",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610721631",
            "telephone_number": "815-624-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 W ROCKTON RD",
            "city": "ROCKTON",
            "state": "IL",
            "postal_code": "610721631",
            "telephone_number": "815-624-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDIE B. FLOBERG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "PINGO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/BCBA",
        "authorized_official_telephone_number": "815-624-8431"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.