PIONEER CENTER – NPI #1902252075
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

PIONEER CENTER is a community based residential treatment facility located in POPLAR GROVE, IL. NPPES has assigned the NPI number 1902252075 to PIONEER CENTER on May 09, 2016. 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 PIONEER CENTER below.

NPI Profile for
PIONEER CENTER

NPI Number
1902252075
Enumeration Date

(more than 10 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
PIONEER CENTER
Primary location
310 CONSTITUTION DRIVE SOWTH WEST
POPLAR GROVE, IL 61065
Phone: (815) 800-1196 Fax:
Mailing address
310 CONSTITUTION DRIVE SOUTH WEST
POPLAR GROVE, IL 61065
Phone: (815) 800-1196 Fax:
Organization Subpart
No
Authorized Official
SHAHALONIE HERMAN
QIDP SUPERVISOR
Phone: (815) 904-1327
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)

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.