NPIMap

Organization Active NPI

Ray Graham Association

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lisle, IL
National Provider Identifier
1962856831
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
199100030C Issued in IL
Legal business name
RAY GRAHAM ASSOCIATION
Practice address
901 Warrenville Rd
Suite 500
Lisle, IL 60532-4301
Phone
(630) 620-2222
Fax
(630) 628-1488
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Kimberly Zoeller
Title
President and Ceo
Phone
(630) 628-7255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 199100030C IL Primary

Addresses

Primary practice location

901 Warrenville Rd
Suite 500
Lisle, IL 60532-4301

Mailing address

901 Warrenville Rd
Suite 500
Lisle, IL 60532-4301
Phone (630) 620-2222

National Provider Directory

National Provider Directory
Tax ID family
Ray Graham Association5 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.

Locations

901 Warrenville Rd
Ste 500
Lisle, IL 60532
Phone (630) 620-2222

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1962856831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WARRENVILLE RD",
            "address_2": "SUITE 500",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324301",
            "telephone_number": "630-620-2222",
            "fax_number": "630-628-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WARRENVILLE RD",
            "address_2": "SUITE 500",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605324301",
            "telephone_number": "630-620-2222",
            "fax_number": "630-628-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY GRAHAM ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "ZOELLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "630-628-7255"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "199100030C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.