CHILDREN'S HOME ASSOCIATION OF ILLINOIS (NPI# 1174583660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174583660 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOME ASSOCIATION OF ILLINOIS |
| Practice Address |
2130 North Knoxville Ave Peoria IL 61603 |
| Practice Telephone | 3096851047 |
| Practice Fax Number | 3096877299 |
| Mailing Telephone | 3096851047 |
| Mailing Fax Number | 3096877299 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2017-11-06 |
| Authorized Official Name | AARON MILLER (BILLING ANALYST) |
| Authorized Official Telephone | 3096877241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689192486 | Children's Home Association of Illinois | Clinic/Center | 5401 N Knoxville Ave Ste 412a, Peoria, IL 61614-5021 | 2017-09-01 |
| 1225347388 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 2130 N Knoxville Ave, Peoria, IL 61603-2460 | 2010-10-06 |
| 1477783488 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 109 E Arcadia Ave, Peoria, IL 61603-2401 | 2009-07-24 |
| 1003046012 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 901 E Nebraska Ave, Peoria, IL 61603-2623 | 2009-07-24 |
| 1174750293 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 2019 N Bigelow St, Peoria, IL 61604-3505 | 2009-06-16 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| 1134355092 | Children's Home Association of Illinois | Voluntary or Charitable | 613 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| 1285880674 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 404 Ne Madison Ave, Peoria, IL 61603-3720 | 2008-08-18 |
| 1730335126 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 511 Ne Madison Ave, Peoria, IL 61603-3830 | 2008-08-18 |
| 1851557086 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2008-08-07 |
| Street Address |
2130 NORTH KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689192486 | Children's Home Association of Illinois | Clinic/Center | 5401 N Knoxville Ave Ste 412a, Peoria, IL 61614-5021 | 2017-09-01 |
| 1851604359 | Human Service Center | Clinic/Center | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2010-07-26 |
| 1245363894 | Phoenix Christian Counseling Associates | Clinic/Center | 8419 W Wethersfield Rd, Peoria, AZ 85381-8123 | 2007-03-13 |
| 1396876140 | Counseling & Family Services | Clinic/Center | 330 Sw Washington St, Peoria, IL 61602-1417 | 2007-03-07 |
| 1235219973 | D Teichmann PC | Clinic/Center | 4715 N Laurel Dr, Peoria, IL 61614-5533 | 2006-10-17 |
| 1689299976 | Phoenix Christian Psychotherapy Services LLC | Clinic/Center | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2020-06-11 |
| 1760918254 | Faith Solutions To Mental Health | Clinic/Center | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2017-05-04 |
| 1740533900 | Children's Home Association of Illinois | Clinic/Center | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2012-10-24 |
| 1093029308 | Human Service Center | Clinic/Center | 2101 W Willow Knolls Dr, Peoria, IL 61614-1219 | 2010-07-28 |
| 1720392038 | Human Service Center | Clinic/Center | 3500 W New Leaf Ln, Peoria, IL 61615-3366 | 2010-07-28 |
| Find all providers in PEORIA | ||||
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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.