AUNT MARTHA'S YOUTH SERVICE CENTER, INC (NPI# 1629212980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629212980 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER, INC |
| Practice Address |
14046 S Calhoun Ave Burnham IL 60633-2138 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | MR. CHRISTOPHER J NORDLOH (CFO) |
| Authorized Official Telephone | 7087477100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| 1861723611 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 233 Wjoe Orr Rd, North Building, Chicago Heights, IL 60411 | 2010-01-19 |
| 1881838050 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 1658 Thorn St, Chicago Heights, IL 60411-3453 | 2009-05-01 |
| 1316181597 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 101 Wolpers Rd, Park Forest, IL 60466 | 2009-05-01 |
| 1053555235 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 14449 Vanburen, Dolton, IL 60419 | 2009-05-01 |
| 1427292606 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 1540 Scott Ave, Chicago Heights, IL 60411-3254 | 2009-05-01 |
| 1144464322 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 3125 E 131st St, Chicago, IL 60633-1315 | 2009-05-01 |
| 1417191693 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 123 Salt Lake St, Aurora, IL 60506 | 2009-05-01 |
| 1780828962 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 23485 Western Ave, Park Forest, IL 60466-2609 | 2009-05-01 |
| Street Address |
14046 S CALHOUN AVE |
| City | BURNHAM |
| State | IL |
| Zip Code | 60633-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154749513 | Ronald Paetsch I | Physical Therapy Assistant | 14500 S Manistee Ave., Burnham, IL 60633 | 2014-04-02 |
| 1033547914 | Sharron Lynese Mckee | Social Worker | 14545 South Manistee Ave., Unit 2c, Burnham, IL 60633 | 2013-10-31 |
| 1104437904 | Aracely Delreal | Counselor | 2753 E 127th St, Chicago, IL 60633-1128 | 2020-08-14 |
| 1790270965 | Emily Therese Opiola | Nurse Practitioner | 12816 S Muskegon Ave, Chicago, IL 60633-1243 | 2018-06-28 |
| 1144464322 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 3125 E 131st St, Chicago, IL 60633-1315 | 2009-05-01 |
| 1750468534 | James Egan | Chiropractor | 13101 S Baltimore Ave, Chicago, IL 60633-1318 | 2006-11-01 |
| 1194083766 | Joseph Pantano | Physical Therapy Assistant | 13002 S Brandon Ave, Chicago, IL 60633-1321 | 2012-05-02 |
| 1669039020 | Nikolina Medina | Speech-Language Pathologist | 13131 S Buffalo Ave, Chicago, IL 60633-1326 | 2019-05-21 |
| 1790811545 | Efstathia Maria Saranteas | Acupuncturist | 13144 S Buffalo Ave, Chicago, IL 60633-1327 | 2007-02-26 |
| 1972692812 | James M Goril | Dentist | 13247 S Baltimore Ave, Chicago, IL 60633-1431 | 2006-10-11 |
| Find all providers in zip 60633 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
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| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
| 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.