AUNT MARTHA'S YOUTH SERVICE CENTER IN (NPI# 1548594088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548594088 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER IN |
| Practice Address |
409 W Jefferson St Joliet IL 60435-7415 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 8157688750 |
| Practice Fax Number | 8157221917 |
| Mailing Telephone | 7087477100 |
| Mailing Fax Number | 7087470710 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | MR. CHRISTOPHER J NORDLOH (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7087477100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
409 W JEFFERSON ST |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-7415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427560036 | Rz Consulting, LLC | Community/Behavioral Health | 210 N Hammes Ave Ste 206, Joliet, IL 60435-6680 | 2017-11-04 |
| 1902331317 | Israeio Holloway | Community/Behavioral Health | 103 Girard Blvd, Joliet, IL 60433-3105 | 2017-04-23 |
| 1033378385 | Promises of Recovery | Community/Behavioral Health | 330 Madison St Ste 302, Joliet, IL 60435-6576 | 2008-06-03 |
| 1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
| 1023657087 | Sips of Healing | Community/Behavioral Health | 58 E Clinton St # B30, Joliet, IL 60432-4143 | 2019-12-22 |
| 1205489036 | Serenity Counseilng Services | Community/Behavioral Health | 1002 N 129th Infantry Dr Ste F, Joliet, IL 60435-3109 | 2019-07-21 |
| 1447723275 | Aba Everyday LLC | Community/Behavioral Health | 206 E Washington St Apt A, Joliet, IL 60433-1006 | 2019-01-03 |
| 1811351182 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 54 N Ottawa St, Joliet, IL 60432-4345 | 2016-04-12 |
| 1649638040 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 54 N Ottawa St, 540, Joliet, IL 60432-4345 | 2016-02-01 |
| 1609273937 | Rts Services Unlimited, Inc. | Community/Behavioral Health | 211 N Hammes Ave, Suite 1a, Joliet, IL 60435 | 2014-12-02 |
| Find all providers in JOLIET | ||||
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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.