SPERO FAMILY SERVICES (NPI# 1750604963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750604963 |
| Entity Type | Organization |
| Organization Name | SPERO FAMILY SERVICES |
| Other Organization Name | UNITED METHODIST CHILDREN'S HOME OF SOUTHERN ILLINOIS INC. |
| Practice Address |
107 Shiloh Dr Mount Vernon IL 62864-7301 |
| Mailing Address |
2023 Richview Rd Mount Vernon IL 62864-2884 |
| Practice Telephone | 6182426944 |
| Practice Fax Number | 6182426726 |
| Mailing Telephone | 6182421070 |
| Mailing Fax Number | 6182429381 |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | MR. JOHN SHADOWENS (PRESIDENT/CEO) |
| Authorized Official Telephone | 6182421070 |
| Is Organization Subpart | Y |
| Parent Organization Name | SPERO FAMILY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 021068-11 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 5000-IPI-029 | 05 |
| Other Name | Type Code |
|---|---|
| United Methodist Children's Home of Southern Illinois Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437661006 | Spero Family Services | Community/Behavioral Health | 403 N 42nd St Ste C, Mount Vernon, IL 62864-2297 | 2017-11-03 |
| 1255862611 | Spero Family Services | Community/Behavioral Health | 101 Masonic Dr, Murphysboro, IL 62966-1959 | 2017-03-27 |
| 1447561378 | Spero Family Services | Foster Care Agency | 201 North 27th Street, Mount Vernon, IL 62864 | 2010-06-25 |
| 1194036665 | Spero Family Services | Community Based Residential Treatment Facility, Mental Illness | 2023 Richview Rd, Mount Vernon, IL 62864-2884 | 2010-06-29 |
| 1497071989 | Spero Family Services | Community/Behavioral Health | 218 E Main St, West Frankfort, IL 62896-2406 | 2010-04-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SPERO FAMILY SERVICES | 2023 Richview Rd, Mount Vernon, IL 62864-2884 |
| Street Address |
107 SHILOH DR |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 62864-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609836915 | Lisa J Levanti Thomas | Counselor | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2006-03-23 |
| 1447724737 | Daniel P. Boehmer | Counselor | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2019-01-20 |
| 1326534231 | Shelby Lynn Westbrook | Counselor | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2018-07-03 |
| 1952896185 | Morgan Lynn Virginia Henry | Counselor | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2018-06-29 |
| 1336634955 | Kendra Kay Fry | Counselor | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2018-06-26 |
| 1669967378 | Deanna Marie Keiser | Counselor | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2018-06-25 |
| 1497240444 | Tim Buehler | Counselor | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2018-06-22 |
| 1053805085 | Elyse Michelle Hills | Social Worker | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2018-06-22 |
| 1043752280 | Celeste Robinson | Social Worker | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2016-11-04 |
| 1528241957 | Bowman Chiropractic | Clinic/Center | 107 Shiloh Dr, Suite B, Mount Vernon, IL 62864-7301 | 2007-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
| 1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
| 1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
| 1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
| 1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
| 1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
| 1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
| 1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
| Find all providers in zip 62864 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316508559 | Front Range Ranch & Rescue | Community/Behavioral Health | 27808 Widows Creek Rd, Mount Vernon, OR 97865-6152 | 2019-06-27 |
| 1437661006 | Spero Family Services | Community/Behavioral Health | 403 N 42nd St Ste C, Mount Vernon, IL 62864-2297 | 2017-11-03 |
| 1275906794 | The Guidance Center of Westchester | Community/Behavioral Health | 151 Chester St, Mount Vernon, NY 10552-3203 | 2015-11-05 |
| 1417339151 | Turning Point- Its Your Turn Inc | Community/Behavioral Health | 44 N Terrace Ave, Mount Vernon, NY 10550-1815 | 2015-06-18 |
| 1760506315 | Phoenix Recovery Services, LLC | Community/Behavioral Health | 1601 E College Way, Mount Vernon, WA 98273-5612 | 2007-03-19 |
| 1851427694 | Eric Richard Johnson | Community/Behavioral Health | 1330a S 2nd St Ste 102, Mount Vernon, WA 98273-4822 | 2007-02-26 |
| 1063562122 | Posey County Rehabilitation Services | Community/Behavioral Health | 5525 Industrial Rd, Mount Vernon, IN 47620-7200 | 2007-01-11 |
| 1861506974 | The Guidance Center of Westchester, Inc | Community/Behavioral Health | 256 Washington St, Mount Vernon, NY 10553-1052 | 2006-08-18 |
| 1871119768 | Psychiatric Nurse Consulting & Therapy, LLC | Community/Behavioral Health | 117 N 1st St Ste 55, Mount Vernon, WA 98273-2858 | 2020-06-17 |
| 1285193979 | Phoenix Recovery House | Community/Behavioral Health | 1601 E College Way, Mount Vernon, WA 98273-5612 | 2019-03-13 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 62864 |
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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.