Local Worx Community Space

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LOCAL WORX COMMUNITY SPACE

Practice address

22239 Willow Tree Ave
Sauk Village, IL 60411-5159

Phone

(331) 207-0188

NPI assigned

Jan 12, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Dareon Woodard

Title

Vice President

Phone

(331) 207-0188

Specialties & licenses 3

Addresses

Other names 2

• A Bright Center Day Program - IL Doing business as
• A Bright Center Integrated Living - IL Doing business as

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1972374528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 RIDGELAND AVE # 118",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151262",
            "telephone_number": "331-207-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22239 WILLOW TREE AVE",
            "city": "SAUK VILLAGE",
            "state": "IL",
            "postal_code": "604115159",
            "telephone_number": "331-207-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCAL WORX COMMUNITY SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "DAREON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "331-207-0188",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Bright Center Day Program - IL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Bright Center Integrated Living - IL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A Bright Center Integrated Living - IL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Sauk Village, IL
• Providers in Sauk Village, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.