Hazel Bland Promise Center
NPI 1235580564 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · East Saint Louis, IL
Hazel Bland Promise Center is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in East Saint Louis, IL (NPI 1235580564).
Provider details
- NPI number
- 1235580564
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Vivian Thompson, Family Support Unit Director(618) 274-3500
- License
- 199200170S (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 199200170S (IL)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2016-06-28
- Last updated
- 2016-06-28
Frequently asked questions
- What is Hazel Bland Promise Center's NPI number?
- Hazel Bland Promise Center's National Provider Identifier (NPI) is 1235580564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hazel Bland Promise Center?
- Hazel Bland Promise Center is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Hazel Bland Promise Center located?
- Hazel Bland Promise Center's practice location on file with NPPES is 2900 State St, East Saint Louis, IL 62205-2234.
- What is Hazel Bland Promise Center's phone number?
- The practice phone number listed in the NPPES registry for Hazel Bland Promise Center is (618) 274-3500.
- Who is the authorized official for Hazel Bland Promise Center?
- The authorized official listed on Hazel Bland Promise Center's NPPES record is Vivian Thompson, Family Support Unit Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hazel Bland Promise Center's NPI active?
- Yes — Hazel Bland Promise Center's NPI (1235580564) is active in the NPPES registry as of the last update on 2016-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.