T.O.C Incoorporation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

201400007C Issued in IL

Legal business name

T.O.C INCOORPORATION

Practice address

4709 Abbey LN
Matteson, IL 60443-1894

Phone

(708) 710-0640

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Idayat A Ufomba

Title

Director

Phone

(708) 710-0640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1710365341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 ABBEY LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431894",
            "telephone_number": "708-710-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 ABBEY LN",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604431894",
            "telephone_number": "708-710-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.O.C INCOORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "UFOMBA",
        "authorized_official_first_name": "IDAYAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-710-0640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "201400007C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Matteson, IL
• Providers in Matteson, IL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.