Golfview Developmental Center, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

0042614 Issued in IL

Legal business name

GOLFVIEW DEVELOPMENTAL CENTER, INC.

Practice address

9555 Golf Rd
Des Plaines, IL 60016-1519

Phone

(847) 827-6628

Fax

(847) 827-0948

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Anthony R Miner, NHA

Title

President

Phone

(847) 827-6628

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G190

Legal name

GOLFVIEW DEVELOPMENTAL CENTER

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Sep 27, 1988

Last certification

Apr 15, 2025

Beds

135

Ownership / control type

Private (non-profit)

Most recent change of ownership

Jan 10, 2024

Facility address

9555 West Golf Road
Des Plaines, IL 60016

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679567226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9555 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161519",
            "telephone_number": "847-827-6628",
            "fax_number": "847-827-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161519",
            "telephone_number": "847-827-6628",
            "fax_number": "847-827-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLFVIEW DEVELOPMENTAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-827-6628",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0042614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14G190",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Intellectual Disabilities Intermediate Care Facility in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Intellectual Disabilities Intermediate Care Facility in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.