THE DUBOIS DOUGLAS CENTRES (NPI# 1386028835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386028835 |
Entity Type | Organization |
Organization Name | THE DUBOIS DOUGLAS CENTRES |
Practice Address |
4747 Lincoln Mall Dr Suite 301 Matteson IL 60443-3811 |
Practice Telephone | 7082830886 |
Practice Fax Number | 7082830895 |
Mailing Telephone | 7082830886 |
Mailing Fax Number | 7082830895 |
Enumeration Date | 2015-07-15 |
Last Update Date | 2015-07-15 |
Authorized Official Name | MR. MARCEL MARTINS-MENSAH (PRESIDENT) |
Authorized Official Telephone | 7082830886 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 199500004C | IL | Residential Treatment Facilities |
Street Address |
4747 LINCOLN MALL DR SUITE 301 |
City | MATTESON |
State | IL |
Zip Code | 60443-3811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790795805 | Bnm Professional Consulting Services, Inc. | Physical Therapist | 4747 Lincoln Mall Dr, Suite #302, Matteson, IL 60443-3811 | 2006-08-09 |
1669012910 | Olufemi Matimoju | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2020-01-14 |
1285277905 | Shaneika Tolliver | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-10-25 |
1013574458 | Angela Maria Cunningham | Social Worker | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-05-21 |
1356801856 | Patricia Ann Willis | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-21 |
1366901290 | Amanda Briick | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2019-03-19 |
1790239291 | Ollie Owens | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2016-08-12 |
1518411016 | Brittany Lampkin | Counselor | 4747 Lincoln Mall Dr, Matteson, IL 60443-3811 | 2016-08-12 |
1255885752 | Shanna Walker | Counselor | 4747 Lincoln Mall Dr, 601, Matteson, IL 60443-3811 | 2016-08-12 |
1932442571 | Laynie Foundation | Clinic/Center | 4747 Lincoln Mall Dr, Suite 604, Matteson, IL 60443-3811 | 2013-04-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
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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 |
---|---|---|---|---|
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 |
1710365341 | T.o.c Incoorporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4709 Abbey Ln, Matteson, IL 60443-1894 | 2015-05-14 |
1821435801 | National Mentor Holdings Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 600 Holiday Plaza Dr, Suite 400, Matteson, IL 60443-2241 | 2013-05-30 |
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 |
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 |
1629531561 | Lashae Campbell | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Wildwood Lane G, Bolingbrook, IL 60440-1942 | 2019-04-08 |
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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.