MARYVILLE ACADEMY (NPI# 1477700474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477700474 |
Entity Type | Organization |
Organization Name | MARYVILLE ACADEMY |
Practice Address |
10102 Farm School Rd Durand IL 61024-9725 |
Mailing Address |
1150 N River Rd Des Plaines IL 60016-1214 |
Practice Telephone | 8155993801 |
Enumeration Date | 2008-08-20 |
Last Update Date | 2008-08-20 |
Authorized Official Name | MISS MAURA HARRINGTON (CONTROLLER) |
Authorized Official Telephone | 8472941826 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 106103 | IL | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366957292 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
1487072781 | Maryville Academy | Clinic/Center | 1455 E Golf Rd Ste 210, Des Plaines, IL 60016-1254 | 2014-04-03 |
1508174749 | Maryville Academy | Community Based Residential Treatment Facility, Mental Illness | 1658 W Grand Ave, Chicago, IL 60622-6309 | 2010-09-22 |
1275771214 | Maryville Academy | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 951 W Bartlett Rd, Bartlett, IL 60103-4479 | 2009-01-29 |
1578720041 | Maryville Academy | Long Term Care Hospital | 4015 N Oak Park Ave Bldg B, Chicago, IL 60634-7197 | 2008-05-21 |
1578697835 | Maryville Academy | Community/Behavioral Health | 1150 N River Rd, Des Plaines, IL 60016-1214 | 2007-03-16 |
1306873419 | Maryville Academy | Psychiatric Residential Treatment Facility | 555 Wilson Lane, Maryville Scott Nolan Center, Des Plaines, IL 60016-4729 | 2006-06-26 |
1821504788 | Maryville Academy | Clinic/Center | 1510 N Claremont Ave, Chicago, IL 60622-1710 | 2017-12-14 |
1487189445 | Maryville Academy | Clinic/Center | 951 W Bartlett Rd, Bartlett, IL 60103-4479 | 2017-04-27 |
1003341058 | Maryville Academy | Clinic/Center | 1658 W Grand Ave, Chicago, IL 60622-6309 | 2017-04-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MARYVILLE ACADEMY | 1150 N River Rd, Des Plaines, IL 60016-1214 |
Street Address |
10102 FARM SCHOOL RD |
City | DURAND |
State | IL |
Zip Code | 61024-9725 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417315144 | Durand Telepharmacy Inc | Pharmacy | 202 N .center St, Durand, IL 61024 | 2016-02-09 |
1831291145 | Winnebago Fire Protection Dist 1 | Ambulance | 115 West Howard St., Durand, IL 61024 | 2006-09-05 |
1407018500 | Larry G Hambel | Dentist | 117 Center St, Durand, IL 61024-0676 | 2008-06-30 |
1417483595 | Timothy K Urquhart | Emergency Medical Technician, Paramedic | 509 W Main St, Durand, IL 61024-8912 | 2017-05-10 |
1437635919 | Andrea Schrock | Psychologist | 200 W South St, Durand, IL 61024-9403 | 2018-07-17 |
1588165336 | Kiley Beck | Speech-Language Pathologist | 200 W South St, Durand, IL 61024-9403 | 2018-02-27 |
1063614527 | Durand Cusd 322 | Local Education Agency (LEA) | 200 W South St, Durand, IL 61024-9403 | 2007-06-05 |
1609172295 | Mary Grace De Zee | Physical Therapist | 402 S Center St, Durand, IL 61024-9590 | 2011-01-31 |
1720055809 | Medina Nursing Center, Inc | Skilled Nursing Facility | 402 Center St, Durand, IL 61024-9590 | 2006-03-07 |
1386142776 | Medina Nursing Center, Inc | Skilled Nursing Facility | 402 S Center St, Durand, IL 61024-9590 | 2018-01-31 |
Find all providers in zip 61024 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801363551 | Kemmerer Village Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 941 N. 2500 East Road, Assumption, IL 62510 | 2018-10-31 |
1538635198 | Center for Comprehensive Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 901 S Busse Rd, Mt Prospect, IL 60056-4006 | 2018-10-22 |
1851866867 | Sonia Shankman Orthogenic School | Residential Treatment Facility, Emotionally Disturbed Children | Sonia Shankman Orthogenic School, 6245 South Ingleside Ave, Chicago, IL 60637-2621 | 2018-10-05 |
1982188637 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 109 North Poplar Street, Onarga, IL 60955 | 2018-09-19 |
1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
1760924732 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 | 2016-11-08 |
1881058329 | The Center for Youth and Family Solutions | Residential Treatment Facility, Emotionally Disturbed Children | 260 E Queenwood Rd, Morton, IL 61550-9726 | 2016-04-11 |
1942621768 | Arrowhead Ranch Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 12228 104th St, Coal Valley, IL 61240-9712 | 2013-12-20 |
1588004667 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 175 Evergreen, Manteno, IL 60950 | 2013-07-03 |
1649610841 | Nexus Family Healing | Residential Treatment Facility, Emotionally Disturbed Children | 325 Hemlock, Manteno, IL 60950 | 2013-07-02 |
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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.