ONE HOPE UNITED (NPI# 1558324087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558324087 |
Entity Type | Organization |
Organization Name | ONE HOPE UNITED |
Other Organization Name | ONE HOPE UNITED- HUDELSON REGION |
Practice Address |
1400 E Mccord St Centralia IL 62801-3702 |
Mailing Address |
1400 E Mccord St P.o. Box 548 Centralia IL 62801-3702 |
Practice Telephone | 6185324311 |
Practice Fax Number | 6185324318 |
Mailing Telephone | 6185324311 |
Mailing Fax Number | 6185324318 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2017-08-24 |
Authorized Official Name | ELIZABETH HOPKINS (CQIR MEDICAID COORDINATOR) |
Authorized Official Telephone | 8472456556 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 010052-10 | IL | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 370697157001 | 05 |
Other Name | Type Code |
---|---|
One Hope United- Hudelson Region | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558986919 | One Hope United | Community/Behavioral Health | 225 E Main St Ste 106, Wauchula, FL 33873-2702 | 2020-06-11 |
1558986935 | One Hope United | Community/Behavioral Health | 5749 Westgate Dr Ste 302, Orlando, FL 32835-5040 | 2020-06-11 |
1083239453 | One Hope United | Community/Behavioral Health | 120 N Federal Hwy Ste 210, Lake Worth, FL 33460-3493 | 2020-06-11 |
1508481979 | One Hope United | Community/Behavioral Health | 600 N Broadway Ave Ste 305, Bartow, FL 33830-3807 | 2020-06-11 |
1265932941 | One Hope United | Clinic/Center | 241 Ruby Ave Ste B, Kissimmee, FL 34741-5627 | 2018-02-19 |
1063878213 | One Hope United | Community/Behavioral Health | 520 E Capitol Ave, Springfield, IL 62701-1814 | 2016-01-04 |
1154629673 | One Hope United | Clinic/Center | 2929 Broadway St, Suite 7a, Mount Vernon, IL 62864-2383 | 2011-03-08 |
1316268352 | One Hope United | Foster Care Agency | 701 Monroe Ave, Charleston, IL 61920-2036 | 2010-06-14 |
1467782037 | One Hope United | Community/Behavioral Health | 1901 S 4th St Ste 213, Effingham, IL 62401-4188 | 2010-01-05 |
1760718183 | One Hope United | Foster Care Agency | 1901 N Lewis Ave, Waukegan, IL 60087-4723 | 2009-10-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | ONE HOPE UNITED-HUDLESON REGION INC. | 111 E. Wacker Dr, Suite 325, Chicago, IL 60601 |
Street Address |
1400 E MCCORD ST |
City | CENTRALIA |
State | IL |
Zip Code | 62801-3702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871136739 | Jonathan Anthony Sheckles | Counselor | 1400 E Mccord St, Centralia, IL 62801-3702 | 2019-10-23 |
1376186585 | Dawn Marie Lee | Counselor | 1400 E Mccord St, Centralia, IL 62801-3702 | 2019-10-21 |
1245797315 | Brooke Felena Payne | Counselor | 1400 E Mccord St, Centralia, IL 62801-3702 | 2019-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
Find all providers in zip 62801 |
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 |
Find all providers with the same taxonomy |
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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.