GRAND PRAIRIE SERVICES


Address: 17850 Baker Ave, Country Club Hills, IL 60478-4729
Phone: 7084441012

GRAND PRAIRIE SERVICES (NPI# 1730363458) 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) 1730363458
Entity Type Organization
Organization Name GRAND PRAIRIE SERVICES
Practice Address 17850 Baker Ave
Country Club Hills
IL 60478-4729
Mailing Address 17746 Oak Park Ave
Tinley Park
IL 60477-3936
Practice Telephone 7084441012
Mailing Telephone 7084441012
Mailing Fax Number 7086149449
Enumeration Date 2007-12-18
Last Update Date 2016-05-12
Authorized Official Name SHARRONNE WARD (PRESIDENT & CEO)
Authorized Official Telephone 7084441012
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1154896371 Grand Prairie Services Clinic/Center 747 Red Oak Ln, University Park, IL 60484-2965 2018-10-04
1053897736 Grand Prairie Services Clinic/Center 759 Burr Oak Ln, University Park, IL 60484-2865 2018-07-16
1932526548 Grand Prairie Services Clinic/Center 404 Sandburg St, Park Forest, IL 60466-1106 2014-03-20
1417132093 Grand Prairie Services Clinic/Center 73 Westwood Dr, Park Forest, IL 60466-1414 2008-01-02
1093870602 Grand Prairie Services Clinic/Center 136 - 142 1 2 S. Clinton, Bradley, IL 60915 2006-12-26
1063576502 Grand Prairie Services Clinic/Center 67 E 34th St, Steger, IL 60475-1106 2006-12-20
1578627014 Grand Prairie Services Clinic/Center 202 Westwood Dr, Park Forest, IL 60466-1617 2006-12-20
1770647059 Grand Prairie Services Clinic/Center 561 Saratoga Dr, Chicago Heights, IL 60411-1914 2006-12-20
1598829020 Grand Prairie Services Clinic/Center 854 Burnham Ave, Calumet City, IL 60409-4539 2006-12-20
1093879371 Grand Prairie Services Clinic/Center 1236 Ashland Ave, Chicago Heights, IL 60411-2544 2006-12-20

Office Location

Street Address 17850 BAKER AVE
City COUNTRY CLUB HILLS
State IL
Zip Code 60478-4729

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831728245 Erica Jefferson Case Manager/Care Coordinator 17850 Baker Ave, Country Club Hills, IL 60478-4729 2020-04-07
1376840967 Pamela L Velazquez Behavioral Analyst 17850 Baker Ave, Country Club Hills, IL 60478-4729 2011-02-17
1962708545 Gwendolyn L Johnson Behavioral Analyst 17850 Baker Ave, Country Club Hills, IL 60478-4729 2011-01-31
1447554969 Bertha M Miller Behavioral Analyst 17850 Baker Ave, Country Club Hills, IL 60478-4729 2010-12-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285266296 Infinity Love Care LLC Hospice Care, Community Based 1153 Williamsburg Road, Country Club Hills, IL 60478 2020-02-07
1467911313 Atlas & Associates, Inc Durable Medical Equipment & Medical Supplies 4907 Sunset Lane, Country Club Hills, IL 60478 2019-03-19
1780196022 Katrina Crosby Non-emergency Medical Transport (VAN) 18261 Ravisloe Terrace, Country Club Hills, IL 60478 2017-10-26
1063949675 Rashunda Lee Nurse Practitioner 17469 Park Lane, Country Club Hills, IL 60478 2017-05-12
1558809947 Jaylin Omauri Banks Specialist/Technologist 17791 Princeton Lane, Country Club Hills, IL 60478 2017-02-06
1083072276 Lynn Banks Occupational Therapy Assistant 17800 Rosewood Terrace, Country Club Hills, IL 60478 2016-02-03
1215323019 Norm Brown Case Management 19432 Elm Dr, Country Club Hills, IL 60478 2015-04-09
1265841746 Glorinda Conley Henry Health Educator 4131 W. 192nd Pl., Country Club Hills, IL 60478 2014-08-08
1447663398 Lillian Moore Nurse Practitioner 4724 West 175th Place, Country Club Hills, IL 60478 2014-06-09
1578999348 Ihuoma C Ozoh Pharmacist 18331 Mulberry Terrace, Country Club Hills, IL 60478 2013-09-24
Find all providers in zip 60478

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225639990 Mindy Forman, Psyd, LLC Clinic/Center 1020 Milwaukee Ave Ste 110, Deerfield, IL 60015-3555 2020-11-07
1346840295 Stopka Professional Counseling LLC Clinic/Center 13125 Steeplechase Dr, New Lenox, IL 60451-1320 2020-10-29
1346848785 Wellness Hearted Therapy LLC Clinic/Center 2675 S Cedar Glen Dr, Arlington Heights, IL 60005-5303 2020-10-16
1457959256 Association for Individual Development Clinic/Center 708 N Bridge St, Yorkville, IL 60560-1105 2020-10-14
1285231555 Association for Individual Development Clinic/Center 236 W Crystal Lake Ave, Crystal Lake, IL 60014-5847 2020-10-08
1386241123 Envision Unlimited Clinic/Center 1801 N Spaulding Ave, Chicago, IL 60647-4926 2020-10-05
1881291789 Jessica Weisbach, LLC Clinic/Center 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 2020-10-04
1619574803 Envision Unlimited Clinic/Center 2124 W 82nd Pl, Chicago, IL 60620-5358 2020-10-01
1144827320 Envision Unlimited Clinic/Center 4919 N Clark St, Chicago, IL 60640-3514 2020-10-01
1194322370 Envision Unlimited Clinic/Center 4911 S Hoyne Ave, Chicago, IL 60609-4721 2020-10-01
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Competitor

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City COUNTRY CLUB HILLS
Zip Code 60478

Improve Information

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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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