0013 ELISABETH LUDEMAN CENTER – NPI #1649300690
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

0013 ELISABETH LUDEMAN CENTER is a residential treatment facility located in PARK FOREST, IL. NPPES has assigned the NPI number 1649300690 to 0013 ELISABETH LUDEMAN CENTER on March 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 0013 ELISABETH LUDEMAN CENTER is also known by the name HOME 13. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 18 years ago on Jun 13, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 0013 ELISABETH LUDEMAN CENTER below.

NPI Profile for
0013 ELISABETH LUDEMAN CENTER

NPI Number
1649300690
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
0013 ELISABETH LUDEMAN CENTER
Other Name: HOME 13
Primary location
114 N ORCHARD DR
PARK FOREST, IL 60466-1200
Phone: (708) 283-3000 Fax: (708) 283-3020
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID DECKER
CENTER DIRECTOR
Phone: (708) 283-3001
Updated
Identifiers

Identifiers for 0013 ELISABETH LUDEMAN CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL000953261001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
IL 000953261001

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.