Active NPI
Garden Center Services
- Intellectual Disabilities Intermediate Care Facility
- Berwyn, IL
National Provider Identifier
1760647846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- GARDEN CENTER SERVICES
- Practice address
- 3309 Harvey Ave
Berwyn, IL 60402-3807 - Phone
- (708) 398-6560
- NPI assigned
- Jul 28, 2008
- Last updated
- Jul 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gerard S. Beagles
- Title
- Executive Director
- Phone
- (708) 636-0054
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | NU | Primary |
Addresses
Primary practice location
3309 Harvey Ave
Berwyn, IL 60402-3807
Mailing address
8333 Austin Ave
Burbank, IL 60459-2558
Phone (708) 636-0054
National Provider Directory
National Provider Directory- Tax ID family
- Garden Center Services
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Burbank, IL
- NPI 1053775296
-
- Adult Mental Health Clinic/Center
- Burbank, IL
- NPI 1336915826
-
- Intellectual Disabilities Intermediate Care Facility
- Burbank, IL
- NPI 1902023096
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1467994822
Locations
3309 Harvey Ave
Berwyn, IL 60402
Phone (708) 398-6560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1760647846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 AUSTIN AVE",
"city": "BURBANK",
"state": "IL",
"postal_code": "604592558",
"telephone_number": "708-636-0054",
"fax_number": "708-636-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3309 HARVEY AVE",
"city": "BERWYN",
"state": "IL",
"postal_code": "604023807",
"telephone_number": "708-398-6560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARDEN CENTER SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-28",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "BEAGLES",
"authorized_official_first_name": "GERARD",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "708-636-0054",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.