THE ESTHER SERVICES PROJECT OF SO IL, INC (NPI# 1609333129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609333129 |
| Entity Type | Organization |
| Organization Name | THE ESTHER SERVICES PROJECT OF SO IL, INC |
| Practice Address |
105 East St Xenia IL 62899-1274 |
| Practice Telephone | 6185728234 |
| Practice Fax Number | 6188011442 |
| Mailing Telephone | 6185728234 |
| Mailing Fax Number | 6188011442 |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | MS. PAMELA M SMITH (OWNER/EX DIRECTOR) |
| Authorized Official Telephone | 6185728234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
105 EAST ST |
| City | XENIA |
| State | IL |
| Zip Code | 62899-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376844266 | Angela Marie Edwards | Developmental Therapist | 311 Church St, Xenia, IL 62899-1241 | 2010-11-08 |
| 1306370432 | Brandy Tolliver | Nurse Practitioner | 663 Buttonwood Rd, Xenia, IL 62899-2237 | 2017-04-15 |
| 1952837742 | D.o.t-now | Clinic/Center | 663 Buttonwood Rd, Xenia, IL 62899-2237 | 2017-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497888 | Kelly Nichole Mcintyre | Case Manager/Care Coordinator | 328 S Stadium Dr, Xenia, OH 45385-2161 | 2020-11-05 |
| 1821699703 | Dora Suella Blevins | Homemaker | 1929 Connecticut Dr, Xenia, OH 45385-4519 | 2020-11-05 |
| 1497353023 | Tonya Jones | Behavioral Analyst | 1421 Seminole Dr, Xenia, OH 45385-4355 | 2020-10-15 |
| 1679171631 | Tina Severt | In Home Supportive Care | 965 Long Rd, Xenia, OH 45385-8422 | 2020-10-13 |
| 1336747393 | Shannon D Pollock | In Home Supportive Care | 191 E 2nd St, Xenia, OH 45385-3448 | 2020-10-13 |
| 1225636202 | Linda Lu Fleming | Homemaker | 155 Omalee Dr, Xenia, OH 45385-1933 | 2020-10-13 |
| 1760080725 | Hunter Brooke Richards | Supports Brokerage | 1669 Maumee Dr, Xenia, OH 45385-4216 | 2020-10-13 |
| 1104424373 | Bettyjo Driscoll | Home Health Aide | 1691 Navajo Dr, Xenia, OH 45385-4311 | 2020-10-11 |
| 1538766969 | Diane Arlene Ponder | In Home Supportive Care | 1430 Reid Ave, Xenia, OH 45385-2748 | 2020-10-08 |
| 1154928695 | Karin Hamilton | Homemaker | 1846 Arapaho Dr, Xenia, OH 45385-4257 | 2020-10-07 |
| Find all providers in XENIA | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131419 | Foatex Health Cilacare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 163rd St, Calumet City, IL 60409-5915 | 2020-10-10 |
| 1053949404 | A Great Place To Stay LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 35580 N Knowles Rd, Lake Villa, IL 60046-9026 | 2020-03-31 |
| 1255966602 | Infinicare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1939 Waukegan Rd Ste 300, Glenview, IL 60025-1758 | 2020-03-05 |
| 1023643772 | Supporting Community Independence | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Polo Grounds Ct, Bethalto, IL 62010-2623 | 2020-03-03 |
| 1770116287 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12101 S La Salle St, Chicago, IL 60628-6618 | 2020-02-13 |
| 1760014625 | Tomeka R Morgan | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11543 S Ashland Ave, Chicago, IL 60643-5001 | 2020-02-10 |
| 1487292660 | Shalom Home Health Ltd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8147 Seminole Ct, Orland Park, IL 60462-4919 | 2019-12-18 |
| 1447894613 | Compassionate Living Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2625 Butterfield Rd Ste 314e, Oak Brook, IL 60523-1234 | 2019-10-31 |
| 1417599945 | Miracle Comprehensive Serivces | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4440 Lincoln Hwy Ste 205, Matteson, IL 60443-3803 | 2019-10-16 |
| 1609435072 | Bliss Haven, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1304 Durham St, Johnston City, IL 62951-2043 | 2019-06-10 |
| 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.