OrganizationActive
Disability Services of Illinois Nfp
NPI 1477919546 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Chicago Heights, IL
Provider details
- NPI number
- 1477919546
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Reuben Goodwin, Executive Director(708) 753-1670
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Case Management Agency251B00000X
Agencies
Agencies
Profile Score
Established profile(72/100 index)
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
286 E 16th St
Chicago Heights, IL 60411-3730
Phone: (708) 753-1670
Fax: (708) 753-1679
Street-level locationGet directions
Mailing address
Po Box 351
Matteson, IL 60443-0351
Registry dates
- Enumerated
- 2016-01-05
- Last updated
- 2016-01-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.