YOUTH SERVICES NETWORK (NPI# 1043855851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043855851 |
| Entity Type | Organization |
| Organization Name | YOUTH SERVICES NETWORK |
| Practice Address |
107 N 3rd St Rockford IL 61107-4010 |
| Practice Telephone | 8159861947 |
| Practice Fax Number | 8159861954 |
| Mailing Telephone | 8159861947 |
| Mailing Fax Number | 8159861954 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Authorized Official Name | MELISSA BUCALO (ADMINISTRATIVE/LICENSING MANAGER) |
| Authorized Official Telephone | 8159861947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 3000005 | 05 |
| Other Name | Type Code |
|---|---|
| CFC #1 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790001600 | Youth Services Network | Case Management | 107 N 3rd St, Rockford, IL 61107-4010 | 2010-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YOUTH SERVICES NETWORK | 15501 San Fernando Mission Blvd Ste 301, Mission Hills, CA 91345-1382 |
| System for Award Management (SAM) Entities | YOUTH SERVICES NETWORK, INC. | 107 N 3rd St # A, Rockford, IL 61107-4010 |
| Street Address |
107 N 3RD ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790001600 | Youth Services Network | Case Management | 107 N 3rd St, Rockford, IL 61107-4010 | 2010-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740671759 | Jennifer Leigh Ignatoski | Case Management | 3775 Senna Dr Ne, Rockford, MI 49341-9282 | 2015-02-12 |
| 1528273653 | Epilepsy Association of Rock River Valley, Inc | Case Management | 321 W State St, Suite 208, Rockford, IL 61101-1137 | 2007-05-11 |
| 1427069145 | Disability Management Network | Case Management | 6723 Weaver Rd., Ste. 108, Rockford, IL 61114-8052 | 2006-08-10 |
| 1164999892 | Crusaders Central Clinic Association | Case Management | 1200 W State St, Rockford, IL 61102-2112 | 2018-10-31 |
| 1780029561 | Regional Access & Mobilization Project, Inc. | Case Management | 202 Market St, Rockford, IL 61107-3954 | 2013-05-07 |
| 1790001600 | Youth Services Network | Case Management | 107 N 3rd St, Rockford, IL 61107-4010 | 2010-04-16 |
| 1407079197 | Network Medical Review Company Ltd | Case Management | 605 Fulton Ave, Suite 2002, Rockford, IL 61103-4179 | 2007-04-11 |
| 1649314352 | Coosa County Health Dept-rockford Mat Cm | Case Management | Main Street, Rockford, AL 35136 | 2007-02-16 |
| 1700920774 | Coosa County Health Dept-rockford Pat 1st Cm | Case Management | Main Street, Rockford, AL 35136 | 2007-02-16 |
| 1902940703 | Coosa County Health Dept-rockford Epsdt Cm | Case Management | Main Street, Rockford, AL 35136 | 2007-02-16 |
| Find all providers in ROCKFORD | ||||
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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.