PIONEER CENTER FOR HUMAN SERVICES (NPI# 1437430048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437430048 |
Entity Type | Organization |
Organization Name | PIONEER CENTER FOR HUMAN SERVICES |
Practice Address |
3941 W Dayton St Mchenry IL 60050-8377 |
Practice Telephone | 8157597016 |
Practice Fax Number | 8157597298 |
Mailing Telephone | 8157597016 |
Mailing Fax Number | 8157597298 |
Enumeration Date | 2011-09-09 |
Last Update Date | 2011-09-09 |
Authorized Official Name | MS. AMY BOORAS (CLINICAL SUPERVISOR) |
Authorized Official Telephone | 8157597016 |
Authorized Official Credential | MS, CRC, LCPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251B00000X | Case Management | 180.004645 | IL | Agencies |
N | 251S00000X | Community/Behavioral Health | 180.004645 | IL | Agencies |
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 180.004645 | IL | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962867796 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1315 N Curran Rd, Mchenry, IL 60050-6520 | 2015-12-21 |
1942675228 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 N Hart St, Harvard, IL 60033-2227 | 2015-12-11 |
1518332881 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 851 W Main St, Cary, IL 60013-1920 | 2015-12-11 |
1083089361 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 455 Huntley Rd, Crystal Lake, IL 60014-5318 | 2015-12-11 |
1477928752 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 301 W Grant Hwy, Marengo, IL 60152-3038 | 2015-12-11 |
1578938858 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3513 Oakdale Ave, Johnsburg, IL 60051-2561 | 2015-12-11 |
1255706537 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 717 Providence Ln, Crystal Lake, IL 60012-3781 | 2015-12-11 |
1659746923 | Pioneer Center for Human Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 677 Silver Creek Rd, Woodstock, IL 60098-4320 | 2015-12-11 |
1083916779 | Pioneer Center for Human Services | Case Management | 1422 Wheeler St, Woodstock, IL 60098-2472 | 2010-12-01 |
1366744054 | Pioneer Center for Human Services | Case Management | 4031 W Dayton St, Mchenry, IL 60050-8377 | 2010-12-01 |
Street Address |
3941 W DAYTON ST |
City | MCHENRY |
State | IL |
Zip Code | 60050-8377 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508164617 | Sandra Terese Montalvo | Counselor | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2011-03-14 |
1023622404 | Kaley Daleske | Social Worker | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2020-09-03 |
1619580230 | Kasey Grinchuk | Social Worker | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2020-08-24 |
1528617214 | Penelope P Jensen | Social Worker | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2019-09-05 |
1831747211 | Jenny Morales | Social Worker | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2019-08-29 |
1992260624 | Sandra Jo Mcclain | Social Worker | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2019-02-06 |
1922589076 | Jennifer Lynn Boston | Counselor | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2018-08-27 |
1477034536 | Vanessa Marie Langer | Counselor | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2018-08-27 |
1609357763 | Shanta Denard | Counselor | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2018-08-27 |
1497261184 | Kathryn Bohmann | Social Worker | 3941 W Dayton St, Mchenry, IL 60050-8377 | 2017-12-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
Find all providers in zip 60050 |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
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 |
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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.