CHILDREN'S HOME ASSOCIATION OF ILLINOIS (NPI# 1740632546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740632546 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOME ASSOCIATION OF ILLINOIS |
| Practice Address |
2011 N Knoxville Ave Peoria IL 61603-2414 |
| Mailing Address |
2130 N Knoxville Ave Peoria IL 61603-2460 |
| Practice Telephone | 3096851047 |
| Practice Fax Number | 3096877299 |
| Mailing Telephone | 3096851047 |
| Mailing Fax Number | 3096877299 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-11 |
| Authorized Official Name | MATT GEORGE (CEO) |
| Authorized Official Telephone | 3096877218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 004259-13 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 2B05-IPI-130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689192486 | Children's Home Association of Illinois | Clinic/Center | 5401 N Knoxville Ave Ste 412a, Peoria, IL 61614-5021 | 2017-09-01 |
| 1225347388 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 2130 N Knoxville Ave, Peoria, IL 61603-2460 | 2010-10-06 |
| 1477783488 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 109 E Arcadia Ave, Peoria, IL 61603-2401 | 2009-07-24 |
| 1003046012 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 901 E Nebraska Ave, Peoria, IL 61603-2623 | 2009-07-24 |
| 1174750293 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 2019 N Bigelow St, Peoria, IL 61604-3505 | 2009-06-16 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| 1134355092 | Children's Home Association of Illinois | Voluntary or Charitable | 613 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| 1285880674 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 404 Ne Madison Ave, Peoria, IL 61603-3720 | 2008-08-18 |
| 1730335126 | Children's Home Association of Illinois | Community Based Residential Treatment Facility, Mental Illness | 511 Ne Madison Ave, Peoria, IL 61603-3830 | 2008-08-18 |
| 1851557086 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2008-08-07 |
| Street Address |
2011 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962789990 | Amanda Brooke Wetzel | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2011-11-04 |
| 1073920054 | Kevin William Aldridge | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-07-22 |
| 1164839486 | Timothy Cain | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-07-18 |
| 1619390119 | Christine Rutter | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-02-04 |
| 1457774671 | Regina Bridges | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-01-23 |
| 1407279821 | Janette King | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2014-01-22 |
| 1265863153 | Ashley Goyer | Social Worker | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2013-12-03 |
| 1881024289 | Sara Sue Schnauber | Social Worker | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2013-11-21 |
| 1578992905 | Katherine Johnson | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2013-11-06 |
| 1609205996 | Jennifer Marie Noar | Counselor | 2011 N Knoxville Ave, Peoria, IL 61603-2414 | 2013-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1881209583 | Alpine Villa Group LLC | Community/Behavioral Health | 8845 W Potter Dr, Peoria, AZ 85382-6428 | 2020-09-10 |
| 1013556687 | Greystone House 2, LLC | Community/Behavioral Health | 27490 N Higuera Dr, Peoria, AZ 85383-4859 | 2019-12-31 |
| 1659921427 | Terpro LLC | Community/Behavioral Health | 8175 W Ludlow Dr Unit 222, Peoria, AZ 85381-4796 | 2019-09-13 |
| 1528614807 | Sage Counseling, Inc. | Community/Behavioral Health | 8805 W Union Hills Dr Ste 100, Peoria, AZ 85382-8153 | 2019-08-13 |
| 1336607613 | Angel Kids Academy LLC | Community/Behavioral Health | 8910 W Monroe St, Peoria, AZ 85345-6440 | 2019-03-06 |
| 1699269647 | Radu Marinescu | Community/Behavioral Health | 9140 W Hearn Rd, Peoria, AZ 85381-3790 | 2018-06-21 |
| 1740787753 | Pathway Youth and Family Services LLC | Community/Behavioral Health | 9794 W Peoria Ave Ste 13, Peoria, AZ 85345-6138 | 2018-04-07 |
| 1396262044 | Az Behavioral Health Services LLC | Community/Behavioral Health | 9791 W Butler Dr, Peoria, AZ 85345-3725 | 2017-08-24 |
| 1992163380 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 108 Sw Madison Ave, Peoria, IL 61602-1107 | 2016-02-01 |
| Find all providers in PEORIA | ||||
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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.