TIME OUT THERAPY SERVICE (NPI# 1114105368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114105368 |
| Entity Type | Organization |
| Organization Name | TIME OUT THERAPY SERVICE |
| Practice Address |
1770 S Randall Rd A208 Geneva IL 60134-4646 |
| Practice Telephone | 6308962617 |
| Practice Fax Number | 6308962617 |
| Mailing Telephone | 6308962617 |
| Mailing Fax Number | 6308962617 |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |
| Authorized Official Name | MS. MARIA O TOPPS (PROGRAM COORDINATOR) |
| Authorized Official Telephone | 6304177555 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1770 S RANDALL RD A208 |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942653316 | Health Consulting Services | Prosthetic/Orthotic Supplier | 1770 S Randall Rd, 124, Geneva, IL 60134-4646 | 2016-07-20 |
| 1306290002 | Medicalworks LLC | Prosthetic/Orthotic Supplier | 1770 S Randall Rd, 124, Geneva, IL 60134-4646 | 2016-04-19 |
| 1104247857 | Medical Consulting LLC | Durable Medical Equipment & Medical Supplies | 1770 S Randall Rd, #124, Geneva, IL 60134-4646 | 2013-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538330865 | Gail Lee Ryan | Case Manager/Care Coordinator | 3461 Winding Meadow Lane, Geneva, IL 60134 | 2008-03-14 |
| 1487771911 | Finger Lakes Migrant Health Care Project, Inc. | Case Manager/Care Coordinator | 601-b W. Washington Street, Geneva, NY 14456 | 2007-03-22 |
| 1114068178 | Gayle L Hutzell | Case Manager/Care Coordinator | 4795 Linda Dr, Geneva, OH 44041-9750 | 2007-02-10 |
| 1780748251 | Renee Phyllis Steider | Case Manager/Care Coordinator | 831 F St, Geneva, NE 68361 | 2006-12-20 |
| 1669081048 | Haley Nzinga | Case Manager/Care Coordinator | 1120 Randall Ct, Geneva, IL 60134-3911 | 2020-07-30 |
| 1952750960 | Teresita Barbosa | Case Manager/Care Coordinator | 1120 Randall Ct, Geneva, IL 60134-3911 | 2016-06-09 |
| 1851757736 | Jamie Simon | Case Manager/Care Coordinator | 731 Pre Emption Rd, Geneva, NY 14456-1335 | 2016-01-08 |
| 1700253499 | Catholic Charities of The Dioxece of Rochester | Case Manager/Care Coordinator | 94 Exchange St, Geneva, NY 14456-1830 | 2015-08-28 |
| 1558766154 | Hannah Elizabeth Stone | Case Manager/Care Coordinator | 731 Pre Emption Rd, Geneva, NY 14456-1335 | 2014-10-27 |
| 1457600355 | Patricia M. Pykare | Case Manager/Care Coordinator | 731 Pre Emption Rd, Geneva, NY 14456-1335 | 2012-09-06 |
| Find all providers in GENEVA | ||||
Please comment or provide details below to improve the information on TIME OUT THERAPY SERVICE.
| 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.