AUNT MARTHA'S YOUTH SERVICE CENTER, INC. (NPI# 1538519111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538519111 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER, INC. |
| Other Organization Name | AUNT MARTHA'S BREMEN |
| Practice Address |
15350 Oak Park Ave. Oak Forest IL 60452 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Practice Fax Number | 7087470710 |
| Mailing Telephone | 7087477100 |
| Mailing Fax Number | 7087470710 |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MRS. MARY M MARTIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7088255976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aunt Martha's Bremen | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205386638 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15420 Dixie Hwy, Harvey, IL 60426-3478 | 2016-10-10 |
| 1174716823 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 17850 S Kedzie Ave, Hazel Crest, IL 60429-2058 | 2007-08-24 |
| 1104365063 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 8640 S South Chicago Ave, Chicago, IL 60617-2314 | 2017-02-13 |
| 1487191540 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2017-01-27 |
| 1619427655 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15420 Dixie Hwy, Harvey, IL 60426-3478 | 2016-10-13 |
| 1780932061 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 45 W 111th St, Chicago, IL 60628-4200 | 2012-08-17 |
| 1104054386 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 17850 Kedzie Ave, Suite 3200, Hazel Crest, IL 60429-2058 | 2009-06-26 |
| Street Address |
15350 OAK PARK AVE. |
| City | OAK FOREST |
| State | IL |
| Zip Code | 60452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713098 | Oak Family Dental | Dentist | 6056 W. 159th Ave., Oak Forest, IL 60452 | 2020-06-03 |
| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
| 1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
| 1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
| 1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
| 1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
| 1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
| 1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
| 1548668601 | Krystle Banzuela | Nurse Practitioner | 6360 W 159th St, Suite A & B, Oak Forest, IL 60452 | 2014-12-05 |
| Find all providers in zip 60452 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891234753 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2017-02-13 |
| 1679819734 | Lifecore Rehab and Counseling Services Sc | Clinic/Center | 16410 Frontage Rd, Oak Forest, IL 60452 | 2012-12-18 |
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|---|---|---|---|---|
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| 1285231555 | Association for Individual Development | Clinic/Center | 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 | 2020-10-08 |
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | OAK FOREST |
| Zip Code | 60452 |
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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.