CHILDREN'S HOME ASSOCIATION OF ILLINOIS (NPI# 1851557086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851557086 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOME ASSOCIATION OF ILLINOIS |
| Practice Address |
7225 W Plank Rd Peoria IL 61604-5252 |
| Mailing Address |
2130 N Knoxville Ave Peoria IL 61603-2460 |
| Practice Telephone | 3096876600 |
| Mailing Telephone | 3096877255 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |
| Authorized Official Name | PATRICK M. PHELAN (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 3096877255 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| 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 |
| 1174583660 | Children's Home Association of Illinois | Community/Behavioral Health | 2130 North Knoxville Ave, Peoria, IL 61603 | 2006-03-27 |
| Street Address |
7225 W PLANK RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-5252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730676024 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2018-04-23 |
| 1639666928 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2018-04-23 |
| 1558858845 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2018-04-23 |
| 1811484108 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2018-04-23 |
| 1154848216 | Children's Home Association of Illinois | Clinic/Center | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790166072 | Home Away From Home Behavioral Health Residential Facility Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 9231 W Mountain View Rd, Peoria, AZ 85345-4306 | 2015-06-12 |
| 1629379359 | Peoria County Court Administration | Residential Treatment Facility, Emotionally Disturbed Children | 324 Main St Ste 215, Peoria, IL 61602-2334 | 2010-11-11 |
| 1841431632 | Humble House | Residential Treatment Facility, Emotionally Disturbed Children | 8572 W Palo Verde Ave, Peoria, AZ 85345-5354 | 2009-03-09 |
| 1891942785 | Catholic Charities of The Diocese of Peoria | Residential Treatment Facility, Emotionally Disturbed Children | 419 Ne Madison Ave, Peoria, IL 61603-3719 | 2008-08-21 |
| 1285880674 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 404 Ne Madison Ave, Peoria, IL 61603-3720 | 2008-08-18 |
| 1114197969 | Grace of Serenity Living, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 8340 N 86th Ln, Peoria, AZ 85345-2553 | 2008-03-07 |
| 1578695482 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8731 N 83rd Dr, Peoria, AZ 85345-7941 | 2007-03-09 |
| 1861523961 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6726 W Cholla St, Peoria, AZ 85345-5850 | 2007-03-08 |
| 1730676024 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2018-04-23 |
| 1639666928 | Children's Home Association of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 7225 W Plank Rd, Peoria, IL 61604-5252 | 2018-04-23 |
| 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.