Glen Brook
NPI 1629292081 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Vienna, IL
Glen Brook is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Vienna, IL (NPI 1629292081).
Provider details
- NPI number
- 1629292081
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- James Keller, Administrator(618) 833-5070
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-04-13
- Last updated
- 2020-08-22
Frequently asked questions
- What is Glen Brook's NPI number?
- Glen Brook's National Provider Identifier (NPI) is 1629292081, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glen Brook?
- Glen Brook is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Glen Brook located?
- Glen Brook's practice location on file with NPPES is 801 North 1st Street, Vienna, IL 62995-1544.
- What is Glen Brook's phone number?
- The practice phone number listed in the NPPES registry for Glen Brook is (618) 658-2005.
- Who is the authorized official for Glen Brook?
- The authorized official listed on Glen Brook's NPPES record is James Keller, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glen Brook's NPI active?
- Yes — Glen Brook's NPI (1629292081) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.