Organization Active NPI

Special Children, Inc.

  • Early Intervention Provider Agency
  • Belleville, IL
National Provider Identifier
1972553709
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SPECIAL CHILDREN, INC.
Practice address
1306 Wabash Ave
Belleville, IL 62220-3370
Phone
(618) 234-6876
Fax
(618) 234-6150
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
John Hill
Title
Controller
Phone
(618) 234-6876

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IL
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X IL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X IL
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X IL

Addresses

Primary practice location

1306 Wabash Ave
Belleville, IL 62220-3370

Mailing address

1306 Wabash Ave
Belleville, IL 62220-3370
Phone (618) 234-6876

Other identifiers 4

IdentifierTypeStateIssuer
321648226001MedicaidIL
347721087001MedicaidIL
495608727001MedicaidIL
321502460001MedicaidIL

National Provider Directory

National Provider Directory

Locations

1306 Wabash Ave
Belleville, IL 62220
Phone (618) 234-6876

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1972553709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 WABASH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203370",
            "telephone_number": "618-234-6876",
            "fax_number": "618-234-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 WABASH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203370",
            "telephone_number": "618-234-6876",
            "fax_number": "618-234-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CHILDREN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "618-234-6876"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321648226001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347721087001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495608727001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321502460001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.