Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sullivan House Residential Care, Inc

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1487832903

Sullivan House Residential Care, Inc is an Intellectual Disabilities Intermediate Care Facility in Ottawa, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 Grover Ave
Ottawa, IL 61350-4140
Phone: (815) 433-5858
Fax: (815) 673-3231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 0034140 (IL)

Record details

NPI number1487832903
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ralph Gomes — President · (815) 433-5858
NPI enumeratedFebruary 6, 2008
Last updated in NPPESFebruary 6, 2008
Mailing address600 Grover Ave, Ottawa, IL 61350-4140

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