HUMAN SERVICE CENTER (NPI# 1841504222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841504222 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICE CENTER |
| Practice Address |
405 Ne Perry Ave Peoria IL 61603-3629 |
| Mailing Address |
Po Box 1346 600 Fayette Peoria IL 61654-1346 |
| Practice Telephone | 3096718005 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |
| Authorized Official Name | FRED NIRDE (PRESIDENT/CEO) |
| Authorized Official Telephone | 3096718000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 041 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225415136 | Human Service Center | Clinic/Center | 3500 W New Leaf Lane, Retreat Wing, Peoria, IL 61615 | 2015-04-29 |
| 1417207861 | Human Service Center | Clinic/Center | 109 West Elm Street, Okawville, IL 62271 | 2012-09-13 |
| 1952615338 | Human Service Center | Community/Behavioral Health | 600 Fayette St, Peoria, IL 61603-3610 | 2010-07-28 |
| 1578876074 | Human Service Center | Community Based Residential Treatment Facility, Mental Illness | 1924 Sw Adams St, Peoria, IL 61602-1718 | 2010-07-26 |
| 1366755860 | Human Service Center | Community/Behavioral Health | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2010-07-26 |
| 1851604359 | Human Service Center | Clinic/Center | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2010-07-26 |
| 1144549494 | Human Service Center | Community/Behavioral Health | 3420 N Rochelle Ln, Peoria, IL 61604-1035 | 2010-05-26 |
| 1013245448 | Human Service Center | Community/Behavioral Health | 1005 Ne Jefferson Ave, Peoria, IL 61603-4064 | 2009-11-23 |
| 1033340773 | Human Service Center | Clinic/Center | 3500 W New Leaf Ln, Peoria, IL 61615-3366 | 2009-07-29 |
| 1326279068 | Human Service Center | Clinic/Center | 2101 W Willow Knolls Dr, Peoria, IL 61614-1219 | 2009-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HUMAN SERVICE CENTER | 10257 State Rte 3, Red Bud, IL 62278-4418 |
| Street Address |
405 NE PERRY AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3629 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913998 | Vema Corporation | Community Based Residential Treatment Facility, Mental Illness | 12701 N 79th Dr, Peoria, AZ 85381-9049 | 2020-08-20 |
| 1851926166 | Miss A's LLC | Community Based Residential Treatment Facility, Mental Illness | 9143 N 82nd Ln, Peoria, AZ 85345-4827 | 2020-03-06 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1871095232 | Loving Hands LLC | Community Based Residential Treatment Facility, Mental Illness | 9323 W Harmony Ln, Peoria, AZ 85382-8374 | 2018-03-01 |
| 1316453913 | Love for The Children Group Home | Community Based Residential Treatment Facility, Mental Illness | 20277 N 93rd Ave, Peoria, AZ 85382-5319 | 2017-12-18 |
| 1265967012 | Abba Behavioral Health,llc | Community Based Residential Treatment Facility, Mental Illness | 21388 N 106th Ln, Peoria, AZ 85382-0522 | 2017-04-28 |
| 1114465978 | Orion Homes LLC | Community Based Residential Treatment Facility, Mental Illness | 8302 W Donald Dr, Peoria, AZ 85383-2041 | 2017-02-01 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1447795992 | Miss A's LLC | Community Based Residential Treatment Facility, Mental Illness | 8606 N 68th Ln, Peoria, AZ 85345-8451 | 2016-12-19 |
| 1942743711 | Loloma House LLC | Community Based Residential Treatment Facility, Mental Illness | 15259 N 67th Dr, Peoria, AZ 85381-4502 | 2016-11-29 |
| 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.