HUMAN SERVICE CENTER (NPI# 1013245448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013245448 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICE CENTER |
| Practice Address |
1005 Ne Jefferson Ave Peoria IL 61603-4064 |
| Mailing Address |
600 Fayette St Po Box 1346 Peoria IL 61603-3610 |
| Practice Telephone | 3096718005 |
| Mailing Telephone | 3096718005 |
| Mailing Fax Number | 3096718021 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |
| Authorized Official Name | MRS. GERD B PREWETT (VP & CFO) |
| Authorized Official Telephone | 3096718005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 320013 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225415136 | Human Service Center | Clinic/Center | 3500 W New Leaf Lane, Retreat Wing, Peoria, IL 61615 | 2015-04-29 |
| 1417207861 | Human Service Center | Clinic/Center | 109 West Elm Street, Okawville, IL 62271 | 2012-09-13 |
| 1952615338 | Human Service Center | Community/Behavioral Health | 600 Fayette St, Peoria, IL 61603-3610 | 2010-07-28 |
| 1841504222 | Human Service Center | Community Based Residential Treatment Facility, Mental Illness | 405 Ne Perry Ave, Peoria, IL 61603-3629 | 2010-07-28 |
| 1578876074 | Human Service Center | Community Based Residential Treatment Facility, Mental Illness | 1924 Sw Adams St, Peoria, IL 61602-1718 | 2010-07-26 |
| 1366755860 | Human Service Center | Community/Behavioral Health | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2010-07-26 |
| 1851604359 | Human Service Center | Clinic/Center | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2010-07-26 |
| 1144549494 | Human Service Center | Community/Behavioral Health | 3420 N Rochelle Ln, Peoria, IL 61604-1035 | 2010-05-26 |
| 1033340773 | Human Service Center | Clinic/Center | 3500 W New Leaf Ln, Peoria, IL 61615-3366 | 2009-07-29 |
| 1326279068 | Human Service Center | Clinic/Center | 2101 W Willow Knolls Dr, Peoria, IL 61614-1219 | 2009-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HUMAN SERVICE CENTER | 10257 State Rte 3, Red Bud, IL 62278-4418 |
| Street Address |
1005 NE JEFFERSON AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700929 | True Wellness Support Services | Community/Behavioral Health | 8936 W Villa Rita Dr, Peoria, AZ 85382-3021 | 2020-11-05 |
| 1881209583 | Alpine Villa Group LLC | Community/Behavioral Health | 8845 W Potter Dr, Peoria, AZ 85382-6428 | 2020-09-10 |
| 1013556687 | Greystone House 2, LLC | Community/Behavioral Health | 27490 N Higuera Dr, Peoria, AZ 85383-4859 | 2019-12-31 |
| 1659921427 | Terpro LLC | Community/Behavioral Health | 8175 W Ludlow Dr Unit 222, Peoria, AZ 85381-4796 | 2019-09-13 |
| 1528614807 | Sage Counseling, Inc. | Community/Behavioral Health | 8805 W Union Hills Dr Ste 100, Peoria, AZ 85382-8153 | 2019-08-13 |
| 1336607613 | Angel Kids Academy LLC | Community/Behavioral Health | 8910 W Monroe St, Peoria, AZ 85345-6440 | 2019-03-06 |
| 1699269647 | Radu Marinescu | Community/Behavioral Health | 9140 W Hearn Rd, Peoria, AZ 85381-3790 | 2018-06-21 |
| 1740787753 | Pathway Youth and Family Services LLC | Community/Behavioral Health | 9794 W Peoria Ave Ste 13, Peoria, AZ 85345-6138 | 2018-04-07 |
| 1396262044 | Az Behavioral Health Services LLC | Community/Behavioral Health | 9791 W Butler Dr, Peoria, AZ 85345-3725 | 2017-08-24 |
| 1992163380 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 108 Sw Madison Ave, Peoria, IL 61602-1107 | 2016-02-01 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.