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Active NPI 1245695733 Organization (Entity Type 2)

Larc

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities • Lansing, IL

About Larc NPI 1245695733 Summary

Larc is a verified healthcare organization specializing in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities operating in Lansing, IL. Located at 19043 WENTWORTH AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1245695733.

Administrative operations and authorized compliance are overseen by Lora Hurling (Executive Director).

Facility Location & Contact Primary Location

Facility Address

19043 Wentworth Ave

Lansing, IL 604383873

Telephone 7084741540

Authorized Official Information

Authorized Contact Name

Lora Hurling

Title / Role

Executive Director

Official Telephone

7084741540

Facility Classifications & Specialties

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Taxonomy

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Case Management

NUCC Taxonomy Code: 251B00000X

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Day Training, Developmentally Disabled Services

NUCC Taxonomy Code: 251C00000X

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active December 28, 2015

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2015

Registered at 19043 WENTWORTH AVE, LANSING, IL 604383873 (Tel: 7084741540)

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Updated Business Mailing Address December 28, 2015

Registered at 19043 WENTWORTH AVE, P O BOX 77, LANSING, IL 604383873 (Tel: 7084741540)

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Organization / Clinic Name Updated December 28, 2015

Operating as LARC

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2015

Case Management

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Initial NPI Registration & Enumeration December 28, 2015

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1245695733
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: December 28, 2015
Last Update: December 28, 2015

Mailing Address

19043 Wentworth Ave, P O Box 77

Lansing, IL 604383873

Phone: 7084741540

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.