AMIE HOFFMAN CLARKE (NPI# 1164704748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164704748 |
| Entity Type | Individual |
| Full Name | AMIE HOFFMAN CLARKE |
| Other Name | AMIE HOFFMAN |
| Practice Address |
1197 S Buchanan St Wilmington IL 60481-1616 |
| Mailing Address |
190 E 1st St Coal City IL 60416-1628 |
| Practice Telephone | 8154765405 |
| Practice Fax Number | 8154767361 |
| Mailing Telephone | 8159555471 |
| Mailing Fax Number | 8154767361 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1197 S BUCHANAN ST |
| City | WILMINGTON |
| State | IL |
| Zip Code | 60481-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427401488 | Mandi Bennington | Behavioral Analyst | 1197 S Buchanan St, Wilmington, IL 60481-1616 | 2016-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992834592 | Wilmington C U Sch Dist 209u | Local Education Agency (LEA) | 209u Wildcat Court, Wilmington, IL 60481 | 2007-03-02 |
| 1649355660 | Highland Park Cvs, L.l.c | Durable Medical Equipment & Medical Supplies | 1101 S. Water St., Wilmington, IL 60481 | 2006-10-26 |
| 1659437325 | Wilmington Fire Protection District | Ambulance | 501 N Water St, Wilmington, IL 60481-1189 | 2006-12-28 |
| 1386938868 | Joan Papes | Physical Therapist | 324 E Baltimore St, Wilmington, IL 60481-1236 | 2011-06-02 |
| 1356457873 | Mary Melissa Fitzsimmons | Chiropractor | 300 E Baltimore St, Wilmington, IL 60481-1236 | 2006-08-21 |
| 1538553730 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 324 E Baltimore St, Wilmington, IL 60481-1236 | 2015-03-25 |
| 1679774947 | Fitzsimmons Chiropractic P.C. | Chiropractor | 300 E Baltimore St, Wilmington, IL 60481-1236 | 2007-05-31 |
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1710036082 | Michael Joseph Condon | Chiropractor | 676 W Baltimore St, Wilmington, IL 60481-1281 | 2007-01-09 |
| 1942368691 | Patrick John Yerkes | Dentist | 688 W Baltimore St, Wilmington, IL 60481-1281 | 2006-12-05 |
| Find all providers in zip 60481 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588164164 | G&j Quality Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 615 W 5th St, Wilmington, DE 19801-2007 | 2018-02-20 |
| 1114311735 | Rha Health Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 735 Varsity Dr, Wilmington, NC 28403-8447 | 2015-03-20 |
| 1386037505 | Cape Fear Group Homes Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1504 N Kerr Ave, Wilmington, NC 28405-1110 | 2015-03-12 |
| 1053758847 | Gha Autism Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 117 Delham Ct, Wilmington, NC 28412-7674 | 2013-06-03 |
| 1578039541 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 N West St Ste 1200, Wilmington, DE 19801-1058 | 2018-10-17 |
| 1962836460 | Gha Autism Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 N 4th St, Suite 300b, Wilmington, NC 28401-4553 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131419 | Foatex Health Cilacare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 163rd St, Calumet City, IL 60409-5915 | 2020-10-10 |
| 1053949404 | A Great Place To Stay LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35580 N Knowles Rd, Lake Villa, IL 60046-9026 | 2020-03-31 |
| 1255966602 | Infinicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1939 Waukegan Rd Ste 300, Glenview, IL 60025-1758 | 2020-03-05 |
| 1023643772 | Supporting Community Independence | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Polo Grounds Ct, Bethalto, IL 62010-2623 | 2020-03-03 |
| 1770116287 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12101 S La Salle St, Chicago, IL 60628-6618 | 2020-02-13 |
| 1760014625 | Tomeka R Morgan | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11543 S Ashland Ave, Chicago, IL 60643-5001 | 2020-02-10 |
| 1487292660 | Shalom Home Health Ltd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8147 Seminole Ct, Orland Park, IL 60462-4919 | 2019-12-18 |
| 1447894613 | Compassionate Living Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2625 Butterfield Rd Ste 314e, Oak Brook, IL 60523-1234 | 2019-10-31 |
| 1417599945 | Miracle Comprehensive Serivces | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4440 Lincoln Hwy Ste 205, Matteson, IL 60443-3803 | 2019-10-16 |
| 1609435072 | Bliss Haven, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1304 Durham St, Johnston City, IL 62951-2043 | 2019-06-10 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 60481 |
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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.