OrganizationActive
Avancer Homes, LLC
NPI 1487045761 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Genoa, IL
Provider details
- NPI number
- 1487045761
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Desiree Johnson, Executive Director(815) 784-5146
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
350 Sycamore Rd
Genoa, IL 60135-1361
Phone: (815) 784-5146
Fax: (815) 784-4673
Approximate (ZIP-level) locationGet directions
Mailing address
350 Sycamore Rd
Genoa, IL 60135-1361
Registry dates
- Enumerated
- 2015-02-09
- Last updated
- 2015-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.