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Active NPI 1659569788 Organization (Entity Type 2)

Occupational Development Center

Day Training, Developmentally Disabled Services • Normal, IL

About Occupational Development Center NPI 1659569788 Summary

Occupational Development Center is a verified healthcare organization specializing in Day Training, Developmentally Disabled Services operating in Normal, IL. Located at 360 WYLIE DR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1659569788.

Administrative operations and authorized compliance are overseen by Matt Jackson (President/Ceo).

Facility Location & Contact Primary Location

Facility Address

360 Wylie Dr

Normal, IL 617615500

Telephone 3098200723

Authorized Official Information

Authorized Contact Name

MR. Matt Jackson

Title / Role

President/ceo

Official Telephone

3098200723

Facility Classifications & Specialties

Day Training, Developmentally Disabled Services Primary Taxonomy

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 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 11, 2007

Registered at 360 WYLIE DR, NORMAL, IL 617615500 (Tel: 3098200723)

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Updated Business Mailing Address December 11, 2007

Registered at 360 WYLIE DR, NORMAL, IL 617615500

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Organization / Clinic Name Updated December 11, 2007

Operating as OCCUPATIONAL DEVELOPMENT CENTER

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2007

Day Training, Developmentally Disabled Services

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Initial NPI Registration & Enumeration October 15, 2007

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1659569788
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: October 15, 2007
Last Update: December 11, 2007

Mailing Address

360 Wylie Dr

Normal, IL 617615500

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.