HEARTLAND HUMAN SERVICES (NPI# 1376543520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376543520 |
Entity Type | Organization |
Organization Name | HEARTLAND HUMAN SERVICES |
Practice Address |
1200 N 4th St Effingham IL 62401-3032 |
Mailing Address |
1200 N 4th St Po Box 1047 Effingham IL 62401-3032 |
Practice Telephone | 2173477179 |
Practice Fax Number | 2173426716 |
Mailing Telephone | 2173477179 |
Mailing Fax Number | 2173426716 |
Enumeration Date | 2005-07-29 |
Last Update Date | 2018-11-29 |
Authorized Official Name | SHANNON QUANDT (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2173477179 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
04068 | IL | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033365275 | Heartland Human Services | Community Based Residential Treatment Facility, Mental Illness | 1116 N Wenthe Dr, Unit D, Effingham, IL 62401-1635 | 2008-08-07 |
1013163252 | Heartland Human Services | Community Based Residential Treatment Facility, Mental Illness | 3000 Sugar Mill Ct, Effingham, IL 62401-4261 | 2008-08-07 |
1306408943 | Heartland Human Services | Clinic/Center | 800 Kelly Dr Sw, Clay City, IL 62824-1155 | 2019-07-03 |
1497317051 | Heartland Human Services | Clinic/Center | 800 Kelly Dr Sw, Clay City, IL 62824-1155 | 2019-07-03 |
1629354394 | Heartland Human Services | Case Management | 1200 N 4th St, Effingham, IL 62401-3032 | 2011-10-26 |
1760702435 | Heartland Human Services | Community Based Residential Treatment Facility, Mental Illness | 1200 N 4th St, Effingham, IL 62401-3032 | 2010-06-04 |
1962658195 | Heartland Human Services | Clinic/Center | 1200 N 4th St, Effingham, IL 62401-3032 | 2008-08-07 |
1477709616 | Heartland Human Services | Community Based Residential Treatment Facility, Mental Illness | 1116 N Wenthe Dr, Unit C, Effingham, IL 62401-1635 | 2008-08-07 |
1215183447 | Heartland Human Services | Community Based Residential Treatment Facility, Mental Illness | 1116 N Wenthe Dr, Unit B, Effingham, IL 62401-1635 | 2008-08-07 |
1588810725 | Heartland Human Services | Community Based Residential Treatment Facility, Mental Illness | 1116 N Wenthe Dr, Unit A, Effingham, IL 62401-1635 | 2008-08-07 |
Street Address |
1200 N 4TH ST |
City | EFFINGHAM |
State | IL |
Zip Code | 62401-3032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639778384 | Mariah Johnson | Counselor | 1200 N 4th St, Effingham, IL 62401-3032 | 2020-10-23 |
1922607522 | Erica Rene'e Depoister | Counselor | 1200 N 4th St, Effingham, IL 62401-3032 | 2020-10-23 |
1588263230 | Valerie Engelbart | Counselor | 1200 N 4th St, Effingham, IL 62401-3032 | 2020-10-23 |
1235738956 | Kelly Curl | Counselor | 1200 N 4th St, Effingham, IL 62401-3032 | 2020-10-23 |
1740889484 | Hannah Baity | Counselor | 1200 N 4th St, Effingham, IL 62401-3032 | 2020-10-23 |
1962001008 | Jeannetta Workman | Counselor | 1200 N 4th St, Effingham, IL 62401-3032 | 2020-10-20 |
1184223216 | Kylar Craig | Counselor | 1200 N 4th St, Effingham, IL 62401-3032 | 2020-10-20 |
1114497336 | Jamie Lee Mcclain | Social Worker | 1200 N 4th St, Effingham, IL 62401-3032 | 2018-11-30 |
1669971503 | Blake Schroedter | Psychologist | 1200 N 4th St, Effingham, IL 62401-3032 | 2018-02-06 |
1710490107 | Afthan Reents | Social Worker | 1200 N 4th St, Effingham, IL 62401-3032 | 2017-11-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
Find all providers in zip 62401 |
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 |
---|---|---|---|---|
1538687934 | New Light Counseling, LLC | Clinic/Center | 1300 S Raney St Ste 3, Effingham, IL 62401-4283 | 2017-09-06 |
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1225639990 | Mindy Forman, Psyd, LLC | Clinic/Center | 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 | 2020-11-07 |
1346840295 | Stopka Professional Counseling LLC | Clinic/Center | 13125 Steeplechase Dr, New Lenox, IL 60451-1320 | 2020-10-29 |
1346848785 | Wellness Hearted Therapy LLC | Clinic/Center | 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 | 2020-10-16 |
1457959256 | Association for Individual Development | Clinic/Center | 708 N Bridge St, Yorkville, IL 60560-1105 | 2020-10-14 |
1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
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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.