Provider Demographics
NPI:1023473808
Name:AMERICAN RESIDENTIAL CARE,INC
Entity type:Organization
Organization Name:AMERICAN RESIDENTIAL CARE,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:847-354-8727
Mailing Address - Street 1:800 E WOODFIELD RD
Mailing Address - Street 2:SUITE #117
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4717
Mailing Address - Country:US
Mailing Address - Phone:847-327-0400
Mailing Address - Fax:
Practice Address - Street 1:800 E WOODFIELD RD
Practice Address - Street 2:SUITE #117
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4717
Practice Address - Country:US
Practice Address - Phone:847-327-0400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-22
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities