CUNNINGHAM CHILDREN'S HOME OF URBANA IL (NPI# 1871047209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871047209 |
Entity Type | Organization |
Organization Name | CUNNINGHAM CHILDREN'S HOME OF URBANA IL |
Practice Address |
701 Devonshire Dr Champaign IL 61820-7337 |
Practice Telephone | 2173673728 |
Practice Fax Number | 2173672896 |
Mailing Telephone | 2173673728 |
Mailing Fax Number | 2173672896 |
Enumeration Date | 2016-08-15 |
Last Update Date | 2016-08-15 |
Authorized Official Name | MR. MARLIN LIVINGSTON (PRESIDENT / C.E.O.) |
Authorized Official Telephone | 2173673728 |
Authorized Official Credential | MSW |
Is Organization Subpart | Y |
Parent Organization Name | CUNNINGHAM CHILDREN'S HOME OF URBANA IL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
Y | 251V00000X | Voluntary or Charitable | Agencies |
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 |
1487955464 | Cunningham Children's Home of Urbana Il | Voluntary or Charitable | 1705 Georgetown Dr, Champaign, IL 61821-5519 | 2010-11-08 |
1144534579 | Cunningham Children's Home of Urbana Il | Voluntary or Charitable | 1303 N Cunningham Ave, Urbana, IL 61802-1830 | 2010-07-27 |
1821055658 | Cunningham Children's Home of Urbana Il | Voluntary or Charitable | 1301 N Cunningham Ave, Urbana, IL 61802-1830 | 2006-04-26 |
1831683382 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1301 N Cunningham Ave, Urbana, IL 61802-1830 | 2018-06-19 |
1740774298 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1301 N Cunningham Ave, Urbana, IL 61802-1830 | 2018-06-19 |
1487148938 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 208 E Washington St, Urbana, IL 61801-4227 | 2018-06-19 |
1972816262 | Cunningham Children's Home of Urbana Il | Voluntary or Charitable | 208 E Washington St, Urbana, IL 61801-4227 | 2010-07-15 |
Street Address |
701 DEVONSHIRE DR |
City | CHAMPAIGN |
State | IL |
Zip Code | 61820-7337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548362692 | Richard Grey Lord Sr. | Dentist | 701 Devonshire Dr, D1, Champaign, IL 61820-7356 | 2006-09-01 |
1073023776 | C.r. Booker Mediation & Counseling Inc. | Social Worker | 701 Devonshire Dr, C-35, Champaign, IL 61820-7337 | 2017-10-07 |
1396270575 | Megan Strom | Social Worker | 701 Devonshire Dr, Suite B1, Champaign, IL 61820-7337 | 2017-04-26 |
1669893244 | Rachel Kurtz | Social Worker | 701 Devonshire Dr, Suite B1, Champaign, IL 61820-7337 | 2013-12-26 |
1093087728 | Kleppin and Associates | Counselor | 701 Devonshire Dr, Suite 201, Champaign, IL 61820-7337 | 2012-01-26 |
1861763021 | Joshua H Hagerstrom | Counselor | 701 Devonshire Dr, Suite B1, Champaign, IL 61820-7337 | 2012-01-19 |
1992074215 | Jonathan William Thomas-stagg | Psychologist | 701 Devonshire Dr, Champaign, IL 61820-7337 | 2011-12-14 |
1467738450 | Wendi J Crabtree | Counselor | 701 Devonshire Dr, Suite B15, Champaign, IL 61820-7337 | 2011-10-23 |
1437443561 | Michael Thomas Kleppin | Counselor | 701 Devonshire Dr, Suite 201, Champaign, IL 61820-7337 | 2011-06-06 |
1356640700 | Kenna Dunlap Johnson | Social Worker | 701 Devonshire Dr, Suite B15, Champaign, IL 61820-7337 | 2011-03-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
Find all providers in zip 61820 |
Taxonomy Code | 251V00000X |
Grouping | Agencies |
Classification | Voluntary or Charitable |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487955464 | Cunningham Children's Home of Urbana Il | Voluntary or Charitable | 1705 Georgetown Dr, Champaign, IL 61821-5519 | 2010-11-08 |
1750547808 | Family Service of Champaign County | Voluntary or Charitable | 405 S State St, Champaign, IL 61820-5129 | 2008-07-29 |
1447327598 | Erin K. Dunn | Voluntary or Charitable | 405 S State St, Champaign, IL 61820-5129 | 2006-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154948784 | The Hope Through Help Center, Inc. | Voluntary or Charitable | 8851 S Eggleston Ave, Chicago, IL 60620-2117 | 2020-06-30 |
1386292779 | Mindful Living & Care, LLC | Voluntary or Charitable | 8204 Coop Ave, Joliet, IL 60431-5400 | 2019-08-28 |
1043867112 | Southern Illinois Center for Independent Living | Voluntary or Charitable | 2135 W. Ramada Lane, Carbondale, IL 62901-5326 | 2019-08-22 |
1114580586 | Children and Family Comprehensive Health Outreach, Inc. | Voluntary or Charitable | 7401 Blackburn Ave Apt 202, Downers Grove, IL 60516-4144 | 2019-04-20 |
1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
1720447667 | Neptune | Voluntary or Charitable | 2189 N Il Route 83 Ste 220, Round Lake Beach, IL 60073-4906 | 2016-02-21 |
1366817017 | Englewood Community Connection Outreach | Voluntary or Charitable | 7326 S Exchange Ave, Chicago, IL 60649-3408 | 2015-12-07 |
1508235060 | Southeastern Il Agency On Aging, Inc | Voluntary or Charitable | 516 N Market St, Mount Carmel, IL 62863-1558 | 2015-09-15 |
1043687148 | Agesmart Community Resources | Voluntary or Charitable | 2365 Country Rd, Belleville, IL 62221-2571 | 2015-08-25 |
1265812044 | All Saints Center Inc. | Voluntary or Charitable | 1329 Rosemary Dr, Bolingbrook, IL 60490-4940 | 2015-06-05 |
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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.