HUMAN SUPPORT SERVICES (NPI# 1639660244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639660244 |
| Entity Type | Organization |
| Organization Name | HUMAN SUPPORT SERVICES |
| Practice Address |
988 N Illinois Route 3 Waterloo IL 62298-1059 |
| Mailing Address |
Po Box 146 Waterloo IL 62298-0146 |
| Practice Telephone | 6189394444 |
| Practice Fax Number | 6189394181 |
| Mailing Telephone | 6189394444 |
| Mailing Fax Number | 6189394181 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | MELISSA JONES (BILLING MANAGER) |
| Authorized Official Telephone | 6189394444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
A-0112-0001-A | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447982 | Human Support Services | Counselor | 228 Bradford Ln Ste 2, Waterloo, IL 62298-3270 | 2019-09-20 |
| 1851728570 | Human Support Services | Counselor | 228 Bradford Ln, Apartment 5, Waterloo, IL 62298-3270 | 2013-09-27 |
| 1437586112 | Human Support Services | Counselor | 224 N Main St Rear, Waterloo, IL 62298-1264 | 2013-09-26 |
| 1245795251 | Human Support Services | Counselor | 960 Columbia Ctr, Columbia, IL 62236-2545 | 2019-02-04 |
| 1548731060 | Human Support Services | Day Training, Developmentally Disabled Services | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2018-12-10 |
| 1376093625 | Human Support Services | Day Training, Developmentally Disabled Services | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2016-10-11 |
| 1851314918 | Human Support Services | Counselor | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2006-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HUMAN SUPPORT SERVICES CORPORATION | 427 New Karner Road, Suite 7, Albany, Ny 12205 |
| Street Address |
988 N ILLINOIS ROUTE 3 |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427059476 | Melissa I. Harris | Counselor | 988 N Illinois Route 3, Waterloo, IL 62298-1000 | 2005-08-02 |
| 1104425826 | Lindsey Maag | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-10-23 |
| 1124638564 | Anneleyce Dunlop | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-07-31 |
| 1609404367 | Emma Schmidt | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-03-30 |
| 1245868900 | Kizzy Partee | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-03-30 |
| 1245863612 | Daniel Valleroy | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-13 |
| 1982237350 | Thea Palermo | Case Manager/Care Coordinator | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-13 |
| 1255963997 | Kristen Harris | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-11 |
| 1013549765 | Amanda Sehr | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-11 |
| 1467084111 | Trisha Talamantes | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2020-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
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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.