NPIMap

Organization Active NPI

Garden Center Services

  • Intellectual Disabilities Intermediate Care Facility
  • Burbank, IL
National Provider Identifier
1902023096
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
36103 Issued in IL
Legal business name
GARDEN CENTER SERVICES
Practice address
8333 Austin Ave
Burbank, IL 60459-2558
Phone
(708) 636-0054
Fax
(708) 636-7955
NPI assigned
Apr 19, 2007
Last updated
May 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Mrs. Jill Smith
Title
Chief Accountant
Phone
(773) 941-4151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Intellectual Disabilities Intermediate Care Facility 315P00000X 36103 IL Primary

Addresses

Primary practice location

8333 Austin Ave
Burbank, IL 60459-2558

Mailing address

8333 Austin Ave
Burbank, IL 60459-2558
Phone (708) 636-0054

Other identifiers 2

IdentifierTypeStateIssuer
14G251OtherMEDICARE
001MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Garden Center Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1902023096",
    "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": "8333 AUSTIN AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592558",
            "telephone_number": "708-636-0054",
            "fax_number": "708-636-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CENTER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CHIEF ACCOUNTANT",
        "authorized_official_telephone_number": "773-941-4151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "36103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "14G251",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.