OrganizationActive
Cardinal House Inc
NPI 1427236900 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Anna, IL
Provider details
- NPI number
- 1427236900
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gregory Blakely, Ex Dir Se(618) 833-7756
- License
- 965010 (IL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 965010 (IL)
Residential Treatment 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
200 Douglas Street
Anna, IL 62906
Phone: (618) 833-7756
Fax: (618) 833-7756
Street-level locationGet directions
Mailing address
Po Box 622
Anna, IL 62906-0622
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2008-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.