NPIMap

Organization Active NPI

Kirby Rehabilitation, Inc

  • Adult Mental Health Clinic/Center
  • Dolton, IL
National Provider Identifier
1841948650
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KIRBY REHABILITATION, INC
Practice address
14014 Park Ave
Dolton, IL 60419-1029
Phone
(773) 614-4002
NPI assigned
Mar 11, 2022
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Lea KirbyNPI 1790646578
Title
Ceo
Phone
(773) 614-4002

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

14014 Park Ave
Dolton, IL 60419-1029

Mailing address

600 Holiday Plaza Dr Ste 170
Matteson, IL 60443-2236
Phone (708) 248-6305

National Provider Directory

National Provider Directory
Tax ID family
Kirby Rehabilitation2 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.

Locations

14014 Park Ave
Dolton, IL 60419
Phone (618) 698-5374

Practitioners & affiliated clinicians

Practitioners 2

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": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1841948650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOLIDAY PLAZA DR STE 170",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432236",
            "telephone_number": "708-248-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14014 PARK AVE",
            "city": "DOLTON",
            "state": "IL",
            "postal_code": "604191029",
            "telephone_number": "773-614-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "LEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-614-4002"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dolton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.