CHADDOCK (NPI# 1033157748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033157748 |
| Entity Type | Organization |
| Organization Name | CHADDOCK |
| Practice Address |
205 S 24th St Quincy IL 62301-4446 |
| Practice Telephone | 2172220034 |
| Practice Fax Number | 2172223865 |
| Mailing Telephone | 2172220034 |
| Mailing Fax Number | 2172223865 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LINDA HARCHARICK (DIRECTOR OF FINANCE & TECHNOLOGY) |
| Authorized Official Telephone | 2172220034 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 308658-03 | IL | Residential Treatment Facilities |
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 004049-10 | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093063208 | Chaddock | Foster Care Agency | 921 N 24th St, Quincy, IL 62301-2267 | 2012-08-17 |
| 1730548140 | Chaddock | Psychiatric Residential Treatment Facility | 205 S 24th St, Quincy, IL 62301-4446 | 2016-02-12 |
| 1225443880 | Chaddock | Community/Behavioral Health | 2272 Chestnut St, Quincy, IL 62301-2215 | 2014-06-23 |
| 1386981520 | Chaddock | Community/Behavioral Health | 131 N 4th St, Quincy, IL 62301-2913 | 2013-01-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CHADDOCK PRINTING CORPORATION | 501 Fifth Ave., New York, Ny 10017 |
| Washington State Corporations | CHADDOCK PROFESSIONAL SERVICES PLLC | 3925 Keystone Way, Bellingham, WA 98226-1739 |
| Street Address |
205 S 24TH ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484454 | Darion Stephens | Counselor | 205 S 24th St, Quincy, IL 62301-4446 | 2020-03-27 |
| 1285103259 | Jennifer A Stajduhar | Counselor | 205 S 24th St, Quincy, IL 62301-4492 | 2018-11-19 |
| 1295202752 | Lora Lea Frisbie | Social Worker | 205 S 24th St, Quincy, IL 62301-4492 | 2018-11-01 |
| 1780177931 | Kara C Moon | Social Worker | 205 S 24th St, Quincy, IL 62301-4492 | 2018-06-12 |
| 1952806226 | Jonathan Eric Bastian | Counselor | 205 S 24th St, Quincy, IL 62301-4492 | 2018-03-28 |
| 1518474527 | Amanda Becks | Social Worker | 205 S 24th St, Quincy, IL 62301 | 2017-12-29 |
| 1245769413 | Timothy A White | Social Worker | 205 S 24th St, Quincy, IL 62301-4446 | 2017-06-09 |
| 1255876579 | Kaylee E Will | Counselor | 205 S 24th St, Quincy, IL 62301-4446 | 2016-12-21 |
| 1881056851 | Hayley Stoneking | Counselor | 205 S 24th St, Quincy, IL 62301-4446 | 2016-03-28 |
| 1598125601 | Jennifer Littleton | Social Worker | 205 S 24th St, Quincy, IL 62301-4446 | 2016-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750895413 | Gavin Foundation, Inc. | Community Based Residential Treatment Facility, Mental Illness | 43 Old Colony Ave, Quincy, MA 02170-2606 | 2017-11-16 |
| 1326568932 | Jillian Justa Pires | Community Based Residential Treatment Facility, Mental Illness | 8 Hancock Ct, Quincy, MA 02169-5210 | 2017-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
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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.