MARYVILLE ACADEMY


Address: 10102 Farm School Rd, Durand, IL 61024-9725
Phone: 8155993801

MARYVILLE ACADEMY (NPI# 1477700474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 106103 IL Residential Treatment Facilities

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MARYVILLE ACADEMY 1150 N River Rd, Des Plaines, IL 60016-1214

Office Location

Street Address 10102 FARM SCHOOL RD
City DURAND
State IL
Zip Code 61024-9725

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City DURAND
Zip Code 61024

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Dataset Information

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.

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