NPIMap

Organization Active NPI

Concepts Plus Inc

Doing business as Waukegan Terrace

  • Intellectual Disabilities Intermediate Care Facility
  • Waukegan, IL
National Provider Identifier
1689846032
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
43349 Issued in IL
Legal business name
CONCEPTS PLUS INC
Doing business as
Waukegan Terrace
Practice address
860 South Lewis Avenue
Waukegan, IL 60085-7101
Phone
(847) 244-2312
Fax
(847) 244-2897
NPI assigned
Mar 26, 2008
Organization subpart
Yes
Parent organization
CONCEPTS PLUS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Ronald J Wilson
Title
Authorized Agent
Phone
(309) 343-1550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 43349 IL Primary

Addresses

Primary practice location

860 South Lewis Avenue
Waukegan, IL 60085-7101

Mailing address

285 South Farnham Street
Galesburg, IL 61401-5323
Phone (309) 343-1550

Other names 1

  • Waukegan Terrace Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Concepts Plus Inc4 organizations share this tax ID, including this one
Part of
Concepts Plus Inc

Other organizations with this tax ID 3

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1689846032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SOUTH FARNHAM STREET",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614015323",
            "telephone_number": "309-343-1550",
            "fax_number": "309-343-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 SOUTH LEWIS AVENUE",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600857101",
            "telephone_number": "847-244-2312",
            "fax_number": "847-244-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPTS PLUS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCEPTS PLUS INC",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "309-343-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "43349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waukegan Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.