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NPI 1235323841 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Swansea, IL
Provider details
- NPI number
- 1235323841
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Krystal Gruenenfelder, Administrator(618) 277-7730
- License
- 1725481 (IL)
Specialties & taxonomies
Residential Treatment Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1450 Caseyville Ave
Swansea, IL 62226-4517
Phone: (618) 277-7730
Fax: (618) 277-5423
Street-level locationGet directions
Mailing address
1450 Caseyville Ave
Swansea, IL 62226-4517
Registry dates
- Enumerated
- 2007-08-28
- Last updated
- 2016-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.