NPIMap

Organization Active NPI

Center for Disability Services

  • Developmentally Disabled Services Day Training Agency
  • Joliet, IL
National Provider Identifier
1760804629
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CENTER FOR DISABILITY SERVICES
Practice address
311 S Reed St
Joliet, IL 60436
Phone
(815) 744-3500
Fax
(815) 744-3504
NPI assigned
Jan 13, 2014
Last updated
Oct 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

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

Authorized official

Name
Mrs. Jennifer Gabrenya Noak
Title
Chief Executive Officer
Phone
(815) 744-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IL
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

311 S Reed St
Joliet, IL 60436

Mailing address

311 S Reed St
Joliet, IL 60436
Phone (815) 744-3500

Other names 1

  • United Cerebral Palsy of Illinois Prairieland Former legal business name

National Provider Directory

National Provider Directory

Locations

311 S Reed St
Joliet, IL 60436
Phone (815) 744-3500

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1760804629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S REED ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60436",
            "telephone_number": "815-744-3500",
            "fax_number": "815-744-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S REED ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60436",
            "telephone_number": "815-744-3500",
            "fax_number": "815-744-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DISABILITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "GABRENYA NOAK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "815-744-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Cerebral Palsy of Illinois Prairieland",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.