AUNT MARTHA'S YOUTH SERVICE CENTER, INC (NPI# 1336383512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336383512 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER, INC |
| Practice Address |
6010 W Industrial Dr Monee IL 60449-9129 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2013-02-19 |
| 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 |
| 1144464322 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 3125 E 131st St, Chicago, IL 60633-1315 | 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 |
| Street Address |
6010 W INDUSTRIAL DR |
| City | MONEE |
| State | IL |
| Zip Code | 60449-9129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447679642 | Esperanza Camacho | Registered Nurse | 25841 Geranium Lane, Monee, IL 60449 | 2014-04-15 |
| 1346277480 | Laura Marie Healy | Nurse Practitioner | 25711 S Egyptian Trl, Monee, IL 60449 | 2006-06-26 |
| 1992731756 | Monee Fire Protection District | Ambulance | 5500 W Main St, Monee, IL 60449 | 2006-06-23 |
| 1952697310 | Will County Health Department | Clinic/Center | 5601 W Monee Manhattan Rd, Suite 107-110, Monee, IL 60449 | 2011-06-23 |
| 1740534098 | Gregory M Brown Dpm PC | Podiatrist | 4550 W Iris Ln, Monee, IL 60449-4401 | 2012-11-07 |
| 1891285102 | Mary Victoria Wessels | Behavior Technician | 25748 S Kensington Ln, Monee, IL 60449-7220 | 2018-05-11 |
| 1174702583 | Jessica Ann Bloom | Specialist | 5617 W Von Ave Unit C, Monee, IL 60449-7917 | 2007-11-01 |
| 1568917318 | Danielle Kowach | Social Worker | 5310 W Court St, Monee, IL 60449-8061 | 2016-08-22 |
| 1538413604 | Renee J Davis | Massage Therapist | 26011 Compass Rd, Monee, IL 60449-8077 | 2012-10-29 |
| 1285967570 | Lara Marie Speroff | Behavioral Analyst | 25915 Derby Dr, Monee, IL 60449-8085 | 2009-09-17 |
| Find all providers in zip 60449 | ||||
| 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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| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
| Find all providers with the same taxonomy | ||||
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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.