ILLINOIS DEPARTMENT OF HUMAN SERVICES


Address: 1535 W Mccord St, Centralia, IL 62801-5805
Phone: 6185321811

ILLINOIS DEPARTMENT OF HUMAN SERVICES (NPI# 1639214760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639214760
Entity Type Organization
Organization Name ILLINOIS DEPARTMENT OF HUMAN SERVICES
Other Organization Name MURRAY DEVELOPMENTAL CENTER
Practice Address 1535 W Mccord St
Centralia
IL 62801-5805
Practice Telephone 6185321811
Practice Fax Number 6185327464
Mailing Telephone 6185321811
Mailing Fax Number 6185327464
Enumeration Date 2007-02-20
Last Update Date 2008-06-20
Authorized Official Name MR. JAMES VEACH (CENTER DIRECTOR)
Authorized Official Telephone 6185321811
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805-8000 IL Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL 000584061001 05

Other Provider/Organization Names

Other Name Type Code
Murray Developmental Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1467430124 Illinois Department of Human Services Psychiatric Hospital 901 Southwind Dr, Springfield, IL 62703-5125 2006-01-04
1376525204 Illinois Department of Human Services Intermediate Care Facility, Mentally Retarded 1120 Washington Ave, Dixon, IL 61021-1258 2005-11-16
1356338198 Illinois Department of Human Services Psychiatric Hospital 4402 N Main St, Rockford, IL 61103-1278 2005-10-05
1053535864 Illinois Department of Human Services Intermediate Care Facility, Mentally Retarded 114 N Orchard Dr, Park Forest, IL 60466-1200 2007-04-12
1154453991 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1000 N Main St, Anna, IL 62906-1652 2007-03-09
1548305675 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1437294568 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1346385473 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1053456186 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1932244860 Illinois Department of Human Services Psychiatric Unit 4500 College Ave, Alton, IL 62002 2007-02-20

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ILLINOIS DEPARTMENT OF HUMAN SERVICES 401 S Clinton St, Chicago, IL 60607-3800

Office Location

Street Address 1535 W MCCORD ST
City CENTRALIA
State IL
Zip Code 62801-5805

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982710133 Nazir Ahmad Pediatrics 1535 W Mccord St, Centralia, IL 62801 2006-08-21
1003433723 Dale D Pearce Nurse Practitioner 1535 W Mccord St, Centralia, IL 62801-5805 2020-06-29
1316454085 Jessica Lynn Chapman Nurse Practitioner 1535 W Mccord St, Centralia, IL 62801-5805 2018-01-04
1548305675 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1437294568 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1346385473 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1053456186 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1619012747 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1538203419 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-16
1447394325 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-16
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548305675 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1437294568 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1346385473 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1053456186 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1619012747 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-20
1538203419 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-16
1447394325 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-02-16
1003960394 Illinois Department of Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1535 W Mccord St, Centralia, IL 62801-5805 2007-01-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689218273 Dymond Homes LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4223 S Prairie Ave, Chicago, IL 60653-3211 2019-11-06
1447782396 Light of Hope Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 22858 Millard Ave, Richton Park, IL 60471-2531 2017-03-30
1760831945 Nucare Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 18118 Orleans Dr, Hazel Crest, IL 60429-2242 2016-06-08
1649629346 Catina Ballin Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 8808 Riley Road, Wonderlake, IL 60097 2016-06-03
1003262254 Patterson House Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 717 E 1st South St, Carlinville, IL 62626-1922 2016-05-06
1235592288 Ray Graham Association Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 901 Warrenville Rd, Suite 500, Lisle, IL 60532-4301 2016-03-29
1962867796 Pioneer Center for Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1315 N Curran Rd, Mchenry, IL 60050-6520 2015-12-21
1942675228 Pioneer Center for Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 701 N Hart St, Harvard, IL 60033-2227 2015-12-11
1518332881 Pioneer Center for Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 851 W Main St, Cary, IL 60013-1920 2015-12-11
1083089361 Pioneer Center for Human Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 455 Huntley Rd, Crystal Lake, IL 60014-5318 2015-12-11
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Competitor

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City CENTRALIA
Zip Code 62801

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Dataset Information

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.

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