Kemmerer Village Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

0011289-10 Issued in IL

Legal business name

KEMMERER VILLAGE INC.

Practice address

941 N. 2500 East. Rd.
Assumption, IL 62510

Phone

(217) 226-4451

Fax

(217) 226-3511

NPI assigned

Mar 10, 2006

Last updated

Sep 20, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald Little

Title

Executive Director

Phone

(217) 226-2116

Specialties & licenses 1

Addresses

Tax ID family

Kemmerer Village Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kemmerer Village Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Assumption, IL
  • NPI 1801363551
  NPD tax ID

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1811965239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 N. 2500 EAST. RD.",
            "city": "ASSUMPTION",
            "state": "IL",
            "postal_code": "62510",
            "telephone_number": "217-226-4451",
            "fax_number": "217-226-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 N. 2500 EAST. RD.",
            "city": "ASSUMPTION",
            "state": "IL",
            "postal_code": "62510",
            "telephone_number": "217-226-4451",
            "fax_number": "217-226-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMMERER VILLAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-226-2116",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "0011289-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apex Physical Therapy, LLC
• Assumption Fire Protection District
• Central a and M Community Unit
• Jaclyn Davis, LMT
• Kemmerer Village Inc.
• Metzger Health Care Pharmacy
• Amber Miller
• Pana Community Hospital Association (Community Medical Clinic of Assumption)
• Pana Community Hospital Association (Community Medical Clinic of Assumption)
• Pana Community Hospital Association (Community Medical Clinic of Assumption)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Assumption, IL
• Providers in Assumption, IL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.