OrganizationActive
Elece Douglas
NPI 1578898649 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hazel Crest, IL
Provider details
- NPI number
- 1578898649
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Elece Douglas, Develomental Therapist(708) 335-3519
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
17309 Holmes Ave
Hazel Crest, IL 60429-1710
Phone: (708) 335-3519
Fax: (708) 335-3519
Street-level locationGet directions
Mailing address
17309 Holmes Ave
Hazel Crest, IL 60429-1710
Registry dates
- Enumerated
- 2009-10-07
- Last updated
- 2009-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.