NPIMap

Organization Active NPI

Achieve Development Association Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Skokie, IL
National Provider Identifier
1780031062
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
200000006C Issued in IL
Legal business name
ACHIEVE DEVELOPMENT ASSOCIATION INC
Practice address
5115 Church St
Suite 100
Skokie, IL 60077-1201
Phone
(847) 677-4933
Fax
(847) 679-3973
NPI assigned
May 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Mrs. Maria GrosuNPI 1548623861
Title
Executive Director
Phone
(847) 677-4933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 200000006C IL Primary

Addresses

Primary practice location

5115 Church St
Suite 100
Skokie, IL 60077-1201

Mailing address

5115 Church St
Suite 100
Skokie, IL 60077-1201
Phone (847) 677-4933

Other identifiers 2

IdentifierTypeStateIssuer
3000006OtherILMCO PLAN
7094638OtherILBILLING AGENCY

National Provider Directory

National Provider Directory

Locations

5115 Church St
Ste 100
Skokie, IL 60077
Phone (847) 677-4933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Maria Grosu
    • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
    • Skokie, IL
    • NPI 1548623861

    Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

    NPD (past) Authorized official

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1780031062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 CHURCH ST",
            "address_2": "SUITE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771201",
            "telephone_number": "847-677-4933",
            "fax_number": "847-679-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 CHURCH ST",
            "address_2": "SUITE 100",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771201",
            "telephone_number": "847-677-4933",
            "fax_number": "847-679-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE DEVELOPMENT ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "GROSU",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-677-4933",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "200000006C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCO PLAN",
            "identifier": "3000006",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING AGENCY",
            "identifier": "7094638",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.