AUNT MARTHA'S YOUTH SERVICE CENTER INC (NPI# 1205067923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205067923 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER INC |
| Practice Address |
64 W 162nd St Dental Suite South Holland IL 60473-2061 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2010-12-02 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588821532 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 20301 Cottage Grove Ave, Chicago Heights, IL 60411-9667 | 2008-05-19 |
| 1235572751 | Aunt Martha's Youth Service Center Inc | Foster Care Agency | 1 N Center St, Joliet, IL 60435-7407 | 2013-04-15 |
| 1174809503 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 1301 Copperfield Avenue, Suite 201, Joliet, IL 60432-2056 | 2011-10-31 |
| 1396070520 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2009-10-06 |
| 1619201613 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 620 Wing St, Elgin, IL 60123-2800 | 2009-09-23 |
| 1043544141 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 718 N Bridge St, Yorkville, IL 60560-1105 | 2009-09-23 |
| 1063678530 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 1941 Selmarten Rd, Aurora, IL 60505-1337 | 2008-08-04 |
| 1538339411 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2008-03-06 |
| Street Address |
64 W 162ND ST DENTAL SUITE |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326167081 | Lucille Marie Lugowski | Dentist | 64 W 162nd St, South Holland, IL 60473-2061 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871724369 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 52 W 162nd St, South Holland, IL 60473-2061 | 2009-07-31 |
| 1912170457 | Christian Community Health Center | Clinic/Center | 901 E Sibley Blvd, South Holland, IL 60473-1166 | 2008-04-04 |
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| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
Please comment or provide details below to improve the information on AUNT MARTHA'S YOUTH SERVICE CENTER INC.
| 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.