AUNT MARTHA'S YOUTH SERVICE CENTER, INC (NPI# 1427292788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427292788 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER, INC |
| Practice Address |
14424 S Wentworth Ave Riverdale IL 60827-2729 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2009-04-29 |
| 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 |
|---|---|---|---|---|
| 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 |
14424 S WENTWORTH AVE |
| City | RIVERDALE |
| State | IL |
| Zip Code | 60827-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942759758 | Lanette Newman | Driver | 14411 S Lasalle St, Riverdale, IL 60827 | 2016-09-22 |
| 1053771519 | Klr Transport LLC | Non-emergency Medical Transport (VAN) | 14241 Stewart Ave, Riverdale, IL 60827 | 2016-02-26 |
| 1487998316 | Sherry Coleman | Counselor | 1007 West 123rd Street, Calumet Park, IL 60827 | 2012-11-15 |
| 1275756850 | Bruce Michael Cable | Dentist | 100 W 144th St, Riverdale, IL 60827 | 2007-04-11 |
| 1548377716 | Lolita A Wilburn | Chiropractor | 12647 S Justine, Calumet Park, IL 60827 | 2006-08-24 |
| 1598720088 | Infinite Imaging Inc | Clinic/Center | 1029 E 30th St, Chicago, IL 60827 | 2006-04-19 |
| 1194000299 | Neal's Transportation | Non-emergency Medical Transport (VAN) | 13401 S Halsted St, Riverdale, IL 60827-1121 | 2011-10-20 |
| 1982048526 | Denise Simpson | Occupational Therapy Assistant | 13751 S Lowe Ave, Riverdale, IL 60827-1188 | 2013-04-25 |
| 1144883943 | Kenika Lionta Carter | Developmental Therapist | 13246 S Praire Av, Chicago, IL 60827-1246 | 2019-04-17 |
| 1164897302 | Helping Hands Enterprises LLC | Non-emergency Medical Transport (VAN) | 13246 S Langley Ave, Chicago, IL 60827-1336 | 2015-12-13 |
| Find all providers in zip 60827 | ||||
| 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 |
|---|---|---|---|---|
| 1154736429 | Avenal Community Health Center | Clinic/Center | 3554 W. Mt. Whitney Avenue, Riverdale, CA 93656 | 2014-06-25 |
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| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 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 | ||||
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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.