DEVELOPMENTAL SERVICES CENTER (NPI# 1801952817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801952817 |
Entity Type | Organization |
Organization Name | DEVELOPMENTAL SERVICES CENTER |
Practice Address |
1304 W Bradley Ave Champaign IL 61821-2035 |
Practice Telephone | 2173569176 |
Practice Fax Number | 2173569851 |
Mailing Telephone | 2173569176 |
Mailing Fax Number | 2173569851 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. DALE A. MORRISSEY (CEO) |
Authorized Official Telephone | 2173569176 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
Street Address |
1304 W BRADLEY AVE |
City | CHAMPAIGN |
State | IL |
Zip Code | 61821-2035 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417590506 | Kristin A Rose | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2019-10-22 |
1023512118 | Agnieszka Chrzanowska | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2018-03-22 |
1174053946 | Heather Marie Johnson | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2017-06-14 |
1750558326 | Ashley Smiley | Counselor | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2008-05-13 |
1659545507 | Susan H Gibson | Physical Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2008-04-22 |
1346469228 | Judith Ullom | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
1720207699 | Barry Chapman | Physical Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
1558580431 | Kristena Rudloff | Counselor | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
1740409630 | Mary Petre | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
1548489438 | Sarajane Annin | Developmental Therapist | 1304 W Bradley Ave, Champaign, IL 61821-2035 | 2007-04-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
Find all providers in zip 61821 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326582701 | Hoosier Care Inc. | Day Training, Developmentally Disabled Services | 109 Kenwood Rd, Champaign, IL 61821-2905 | 2016-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619515665 | People Overcoming With Everlasting Results, Inc. | Day Training, Developmentally Disabled Services | 6400 W Main St Ste 1f-3, Belleville, IL 62223-3806 | 2019-12-19 |
1386132520 | It Takes A Community LLC | Day Training, Developmentally Disabled Services | 9046 S Justine St, Chicago, IL 60620 | 2018-04-24 |
1215424460 | Victor C. Neumann Association | Day Training, Developmentally Disabled Services | 4434 W Diversey Ave, Chicago, IL 60639-1939 | 2018-04-13 |
1194212399 | Victor C Neumann Association | Day Training, Developmentally Disabled Services | 4122 N Nashville Ave, Chicago, IL 60634-1429 | 2018-04-13 |
1952825770 | Help At Home, LLC | Day Training, Developmentally Disabled Services | 1 N State St Ste 800, Chicago, IL 60602-3312 | 2017-08-02 |
1316478878 | Kathryn Elaine Miller Rose | Day Training, Developmentally Disabled Services | 1207 Lakeside Ln, Mahomet, IL 61853-9767 | 2017-03-25 |
1063943645 | Lf Walls Corp | Day Training, Developmentally Disabled Services | 1404 Fox Hound Trl, Beecher, IL 60401-5106 | 2017-03-24 |
1285186254 | Dorr-wood Ltd | Day Training, Developmentally Disabled Services | 1001 Rail Dr, Woodstock, IL 60098-9411 | 2016-10-26 |
1558818930 | Autismchicago | Day Training, Developmentally Disabled Services | 8035 S Wabash Ave, Chicago, IL 60619-3516 | 2016-09-02 |
1518411594 | Transitions of Western Illinois | Day Training, Developmentally Disabled Services | 631 N 48th St, Quincy, IL 62305-7918 | 2016-08-08 |
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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.