AVENUES TO INDEPENDENCE – NPI #1215250881
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

AVENUES TO INDEPENDENCE is a community based residential treatment facility located in PARK RIDGE, IL. NPPES has assigned the NPI number 1215250881 to AVENUES TO INDEPENDENCE on March 10, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

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 AVENUES TO INDEPENDENCE below.

NPI Profile for
AVENUES TO INDEPENDENCE

NPI Number
1215250881
Enumeration Date

(more than 16 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
AVENUES TO INDEPENDENCE
Primary location
515 BUSSE HWY
PARK RIDGE, IL 60068-3154
Phone: (847) 292-0870 Fax: (847) 292-0873
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT OKAZAKI
CEO
Phone: (847) 292-0870
Updated
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
IL

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.