NPIMap

Organization Active NPI

Residential Options, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Granite City, IL
National Provider Identifier
1952522922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
0036210 Issued in IL
Legal business name
RESIDENTIAL OPTIONS, INC.
Practice address
1108 Engineer Rd
Granite City, IL 62040-2890
Phone
(618) 797-2320
Fax
(618) 797-1745
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan L Stafstrom
Title
Accounting Manager
Phone
(618) 465-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 0036210 IL Primary

Addresses

Primary practice location

1108 Engineer Rd
Granite City, IL 62040-2890

Mailing address

1108 Engineer Rd
Granite City, IL 62040-2890
Phone (618) 797-2320

Other identifiers 1

IdentifierTypeStateIssuer
6012546OtherILPUBLIC HEALTH FACILITY ID

National Provider Directory

National Provider Directory
Tax ID family
Residential Options Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

1108 Engineer Rd
Granite City, IL 62040
Phone (618) 797-2320

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952522922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 ENGINEER RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620402890",
            "telephone_number": "618-797-2320",
            "fax_number": "618-797-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 ENGINEER RD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620402890",
            "telephone_number": "618-797-2320",
            "fax_number": "618-797-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENTIAL OPTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAFSTROM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "618-465-0044"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "0036210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC HEALTH FACILITY ID",
            "identifier": "6012546",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.