National Provider Identifier Database

SKILL SPROUT
Respite Care, Intellectual and/or Developmental Disabilities

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.


Contact Information

SKILL SPROUT
97 EASTGATE DR
WASHINGTON, IL61571-9271
Phone: 708-372-9684
Fax:
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for SKILL SPROUT

NPI Number 1699192799
Legal business name
LBN
SKILL SPROUT
Authorized official KATIE KLEIST - (THERAPIST)
Entity Organization
Organization subpart No
Enumeration date 03/26/2014
Last updated 03/26/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 178006427

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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