PIONEER CONCEPTS INC (NPI# 1760655989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760655989 |
| Entity Type | Organization |
| Organization Name | PIONEER CONCEPTS INC |
| Other Organization Name | PRAIRIE HOUSE |
| Practice Address |
1770 Sauk Trail Sauk Village IL 60411-4956 |
| Mailing Address |
285 South Farnham Street Galesburg IL 61401-5323 |
| Practice Telephone | 7087576729 |
| Practice Fax Number | 7087576974 |
| Mailing Telephone | 3093431550 |
| Mailing Fax Number | 3093436318 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. RONALD J WILSON (AUTHORIZED AGENT) |
| Authorized Official Telephone | 3093431550 |
| Is Organization Subpart | Y |
| Parent Organization Name | PIONEER CONCEPTS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 48025 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Prairie House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497928618 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 1641 Carole Lane, Sauk Village, IL 60411-4990 | 2008-04-09 |
| 1851564074 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 16307 Spaulding Avenue, Markham, IL 60426-5438 | 2008-04-09 |
| 1316110539 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 2317 East 207th Street, Lynwood, IL 60411-1536 | 2008-04-09 |
| 1215100896 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 1380 River Drive, Calumet City, IL 60409-5619 | 2008-04-04 |
| 1518130129 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 15175 State Street, South Holland, IL 60473-1060 | 2008-04-04 |
| 1033382619 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 644 East Sheridan Avenue, Dolton, IL 60419-1267 | 2008-04-04 |
| 1801069430 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 18227 Ravisloe, Country Club Hills, IL 60478-5357 | 2008-04-03 |
| 1073786612 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 2601 223rd Street, Sauk Village, IL 60411-5123 | 2008-04-03 |
| 1619140258 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 237 Central Avenue, Matteson, IL 60443-1401 | 2008-04-03 |
| 1710150354 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 3951 W 190th Street, Flossmoor, IL 60422-1023 | 2008-04-03 |
| Street Address |
1770 SAUK TRAIL |
| City | SAUK VILLAGE |
| State | IL |
| Zip Code | 60411-4956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497928618 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 1641 Carole Lane, Sauk Village, IL 60411-4990 | 2008-04-09 |
| 1073786612 | Pioneer Concepts Inc | Intermediate Care Facility, Mentally Retarded | 2601 223rd Street, Sauk Village, IL 60411-5123 | 2008-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871039669 | Mount St Joseph | Intermediate Care Facility, Mentally Retarded | 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 | 2017-01-17 |
| 1447792221 | Shore Community Services, Inc. | Intermediate Care Facility, Mentally Retarded | 8350 Laramie Ave, Skokie, IL 60077-2461 | 2016-11-10 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1265898266 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 102 S Douglas St, Mc Leansboro, IL 62859-1637 | 2016-01-06 |
| 1164888160 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 W Delaware St, Fairfield, IL 62837-2336 | 2016-01-06 |
| 1376909374 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 416 Chula Vista Dr, Belleville, IL 62221-3160 | 2016-01-06 |
| 1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
| 1790141885 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 212 Turning Leaf Cir, Belleville, IL 62221-6747 | 2016-01-06 |
| 1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
| 1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
| Find all providers with the same taxonomy | ||||
| City | SAUK VILLAGE |
| Zip Code | 60411 |
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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.