AUNT MARTHA'S YOUTH SERVICE CENTER, INC (NPI# 1144464322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144464322 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER, INC |
| Practice Address |
3125 E 131st St Chicago IL 60633-1315 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | MR. CHRISTOPHER J NORDLOH (CFO) |
| Authorized Official Telephone | 7087477100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| 1861723611 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 233 Wjoe Orr Rd, North Building, Chicago Heights, IL 60411 | 2010-01-19 |
| 1881838050 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 1658 Thorn St, Chicago Heights, IL 60411-3453 | 2009-05-01 |
| 1316181597 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 101 Wolpers Rd, Park Forest, IL 60466 | 2009-05-01 |
| 1053555235 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 14449 Vanburen, Dolton, IL 60419 | 2009-05-01 |
| 1427292606 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 1540 Scott Ave, Chicago Heights, IL 60411-3254 | 2009-05-01 |
| 1417191693 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 123 Salt Lake St, Aurora, IL 60506 | 2009-05-01 |
| 1780828962 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 23485 Western Ave, Park Forest, IL 60466-2609 | 2009-05-01 |
| 1336383512 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 6010 W Industrial Dr, Monee, IL 60449-9129 | 2009-05-01 |
| Street Address |
3125 E 131ST ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60633-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154749513 | Ronald Paetsch I | Physical Therapy Assistant | 14500 S Manistee Ave., Burnham, IL 60633 | 2014-04-02 |
| 1033547914 | Sharron Lynese Mckee | Social Worker | 14545 South Manistee Ave., Unit 2c, Burnham, IL 60633 | 2013-10-31 |
| 1104437904 | Aracely Delreal | Counselor | 2753 E 127th St, Chicago, IL 60633-1128 | 2020-08-14 |
| 1790270965 | Emily Therese Opiola | Nurse Practitioner | 12816 S Muskegon Ave, Chicago, IL 60633-1243 | 2018-06-28 |
| 1750468534 | James Egan | Chiropractor | 13101 S Baltimore Ave, Chicago, IL 60633-1318 | 2006-11-01 |
| 1194083766 | Joseph Pantano | Physical Therapy Assistant | 13002 S Brandon Ave, Chicago, IL 60633-1321 | 2012-05-02 |
| 1669039020 | Nikolina Medina | Speech-Language Pathologist | 13131 S Buffalo Ave, Chicago, IL 60633-1326 | 2019-05-21 |
| 1790811545 | Efstathia Maria Saranteas | Acupuncturist | 13144 S Buffalo Ave, Chicago, IL 60633-1327 | 2007-02-26 |
| 1972692812 | James M Goril | Dentist | 13247 S Baltimore Ave, Chicago, IL 60633-1431 | 2006-10-11 |
| 1316463375 | Titan Dental PC | Dentist | 13247 S Baltimore Ave, Chicago, IL 60633-1431 | 2017-08-21 |
| Find all providers in zip 60633 | ||||
| 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] |
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|---|---|---|---|---|
| 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 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1376839274 | Community Mental Health Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2443 E 77th St, Chicago, IL 60649-4730 | 2011-06-20 |
| 1821384736 | Community Mental Health Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7919 S Essex Ave, Chicago, IL 60617-1213 | 2011-06-20 |
| 1669768560 | Community Mental Health Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 8006 S Essex Ave, Chicago, IL 60617-1221 | 2011-06-20 |
| 1427344332 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7131 S Western Ave, Chicago, IL 60636-3614 | 2011-06-20 |
| 1831485739 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7133 S Western Ave, Chicago, IL 60636-3614 | 2011-06-20 |
| 1639465545 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7701 S Phillips Ave, Chicago, IL 60649-4705 | 2011-06-20 |
| 1265727614 | Community Mental Health Council, Inc | Community Based Residential Treatment Facility, Mental Illness | 7623 S Essex Ave, Chicago, IL 60649-4037 | 2011-06-14 |
| Find all providers in CHICAGO | ||||
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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.