SOUTHWEST COMMUNITY SERVICES, INC (NPI# 1497876825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497876825 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST COMMUNITY SERVICES, INC |
| Practice Address |
6775 Prosperi Dr Tinley Park IL 60477-4789 |
| Practice Telephone | 7084291260 |
| Practice Fax Number | 7084299107 |
| Mailing Telephone | 7084291260 |
| Mailing Fax Number | 7084299107 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-06-06 |
| Authorized Official Name | MS. MARY PATRICIA AMBROSINO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7084291260 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | IL | Agencies | |
| N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
IL | Ambulatory Health Care Facilities | |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | IL | Agencies |
| Street Address |
6775 PROSPERI DR |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-4789 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407966856 | Thomas Gerald Bancsi | Occupational Therapist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2006-08-30 |
| 1881253490 | Joshua Raphael Hollie | Behavioral Analyst | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2019-06-07 |
| 1467817155 | Jillian O'sullivan | Behavioral Analyst | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2015-12-22 |
| 1871850370 | Michelle R Archibald | Physical Therapist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2012-04-20 |
| 1457647026 | Southwest Community Services, Inc. | Community/Behavioral Health | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2011-06-22 |
| 1619164639 | Barbara Driver | Occupational Therapist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-10-03 |
| 1093909343 | Maureen Wolski | Occupational Therapist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-08-30 |
| 1770709750 | Loren Ann Zemeckis | Physical Therapy Assistant | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-04-18 |
| 1578788352 | Mary T Dwyer | Speech-Language Pathologist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-04-16 |
| 1598988297 | Sheralyn Yvonne Smith | Specialist | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548618838 | Grand Prairie Services | Day Training, Developmentally Disabled Services | 17746 Oak Park Ave, Tinley Park, IL 60477-3936 | 2016-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515665 | People Overcoming With Everlasting Results, Inc. | Day Training, Developmentally Disabled Services | 6400 W Main St Ste 1f-3, Belleville, IL 62223-3806 | 2019-12-19 |
| 1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
| 1215424460 | Victor C. Neumann Association | Day Training, Developmentally Disabled Services | 4434 W Diversey Ave, Chicago, IL 60639-1939 | 2018-04-13 |
| 1194212399 | Victor C Neumann Association | Day Training, Developmentally Disabled Services | 4122 N Nashville Ave, Chicago, IL 60634-1429 | 2018-04-13 |
| 1952825770 | Help At Home, LLC | Day Training, Developmentally Disabled Services | 1 N State St Ste 800, Chicago, IL 60602-3312 | 2017-08-02 |
| 1316478878 | Kathryn Elaine Miller Rose | Day Training, Developmentally Disabled Services | 1207 Lakeside Ln, Mahomet, IL 61853-9767 | 2017-03-25 |
| 1063943645 | Lf Walls Corp | Day Training, Developmentally Disabled Services | 1404 Fox Hound Trl, Beecher, IL 60401-5106 | 2017-03-24 |
| 1285186254 | Dorr-wood Ltd | Day Training, Developmentally Disabled Services | 1001 Rail Dr, Woodstock, IL 60098-9411 | 2016-10-26 |
| 1558818930 | Autismchicago | Day Training, Developmentally Disabled Services | 8035 S Wabash Ave, Chicago, IL 60619-3516 | 2016-09-02 |
| 1518411594 | Transitions of Western Illinois | Day Training, Developmentally Disabled Services | 631 N 48th St, Quincy, IL 62305-7918 | 2016-08-08 |
| Find all providers with the same taxonomy | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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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.