RIVEREDGE HOSPITAL INC (NPI# 1710070701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710070701 |
Entity Type | Organization |
Organization Name | RIVEREDGE HOSPITAL INC |
Other Organization Name | AERIES HEALTHCARE OF ILLINOIS INC |
Practice Address |
8311 Roosevelt Rd Forest Park IL 60130-2529 |
Practice Telephone | 7087717000 |
Practice Fax Number | 7082092280 |
Mailing Telephone | 7087717000 |
Mailing Fax Number | 7082092280 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2011-03-14 |
Authorized Official Name | STEVE FILTON (SR VP CFO) |
Authorized Official Telephone | 4172749038 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 283Q00000X | Psychiatric Hospital | 0005124 | IL | Hospitals |
Y | 283Q00000X | Psychiatric Hospital | 1720146 | IL | Hospitals |
Other Name | Type Code |
---|---|
Aeries Healthcare Of Illinois Inc | Former Legal Business Name - Organization |
Street Address |
8311 ROOSEVELT RD |
City | FOREST PARK |
State | IL |
Zip Code | 60130-2529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457337735 | Sheila Casteel | Behavioral Analyst | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2005-12-19 |
1831702984 | Bailey Katz | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2020-08-28 |
1932726569 | Kristen Mccourt | Nurse Practitioner | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2020-06-30 |
1376183293 | Jessica Huerta | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2020-01-08 |
1801436969 | Annie Merab Arnold | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2500 | 2020-01-07 |
1073151718 | Sarah Martinez | Social Worker | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-12-12 |
1396386686 | Kate Naudin | Counselor | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-10-08 |
1366094799 | Cara E. Paden | Music Therapist | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-07-16 |
1730641135 | Erin Mckenney | Psychologist | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-04-03 |
1922567908 | Bridget Springmire | Psychologist | 8311 Roosevelt Rd, Forest Park, IL 60130-2529 | 2019-03-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740828227 | Amanda Ross | Social Worker | 1037 Desplaines Avenue, Unit 607, Forest Park, IL 60130 | 2019-12-16 |
1639733959 | Pop Pediatric Therapy Services, LLC | Occupational Therapy Assistant | Pop Pediatric Therapy, 7421 Madison Ave., Forest Park, IL 60130 | 2019-04-23 |
1194261776 | Emeryle D Ladd | Driver | 1117 S. Harlem, Unit 1, Forest Park, IL 60130 | 2017-01-06 |
1225381106 | Riveredge Hospital | Clinic/Center | 8311 W Roosevelt Road, Forest Park, IL 60130 | 2012-10-17 |
1033479712 | Debra L Jensen | Acupuncturist | 7314 W. Madison, Forest Park, IL 60130 | 2012-05-29 |
1710289327 | Platinum Dental Care | Health Maintenance Organization | 333 Circle Avenue, Forest Park, IL 60130 | 2010-12-02 |
1174857262 | Anwar Adams | Physical Therapy Assistant | 1029 Des Plaines Ave Apt 601, Forest Park, IL 60130 | 2009-09-23 |
1992939318 | Family Health Solutions,pc | Chiropractor | 315 Des Plaines Ave., Suite 307, Forest Park, IL 60130 | 2009-05-13 |
1235386681 | Arnold Clevs | Dentist | 334 Circle Ave, Forest Park, IL 60130 | 2008-08-27 |
1932376167 | Dianella V Dizon-menezes | Psychiatry & Neurology | 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130 | 2008-05-16 |
Find all providers in zip 60130 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
1821491960 | Latoya Bragg-finch | Psychiatric Hospital | 6302 Dolores Dr, Oak Forest, IL 60452-2718 | 2014-10-03 |
1790197978 | Aurora Chicago Lakeshore Hospital, LLC | Psychiatric Hospital | 4720 Clarendon Road, Chicago, IL 60640-7860 | 2014-05-22 |
1336475003 | R A Clinic for Psychiatric Care LLC | Psychiatric Hospital | 3147 Treesdale Ct, Naperville, IL 60564-4609 | 2009-10-30 |
1437315017 | Northwestern Memorial Hospital | Psychiatric Hospital | 446 E Ontario St Ste 7-200, Chicago, IL 60611-4418 | 2008-08-01 |
1033397138 | Springfield Hospital, Inc. | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2008-01-31 |
1609072313 | Mount Sinai Community Foundation | Psychiatric Hospital | 2040 W Washington Blvd, Chicago, IL 60612-2429 | 2007-06-21 |
1417070137 | Elmhurst Memorial Guidance Services | Psychiatric Hospital | 183 North York Road, Elmhurst, IL 60126 | 2007-04-09 |
1013017839 | Alexian Brothers Behavioral Health Hospital | Psychiatric Hospital | 1650 Moon Lake Boulevard, Hoffman Estates, IL 60169 | 2006-09-22 |
1659338168 | Aurora Chicago Lakeshore Hospital LLC | Psychiatric Hospital | 4840 N Marine Dr, Chicago, IL 60640-7860 | 2006-04-27 |
Find all providers with the same taxonomy |
City | FOREST PARK |
Zip Code | 60130 |
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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.