STATEWIDE AGENCY (NPI# 1881054757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881054757 |
| Entity Type | Organization |
| Organization Name | STATEWIDE AGENCY |
| Practice Address |
1920 Waukegan Rd Suite 5 Glenview IL 60025-1717 |
| Mailing Address |
1920 Waukegan Road Suite 5 Glenview IL 60025 |
| Practice Telephone | 8477243600 |
| Practice Fax Number | 8472410202 |
| Mailing Telephone | 8477243600 |
| Mailing Fax Number | 8472410202 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |
| Authorized Official Name | HAK I JIN (PRESIDENT) |
| Authorized Official Telephone | 8477243600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | 100287909 | IL | Agencies |
| Street Address |
1920 WAUKEGAN RD SUITE 5 |
| City | GLENVIEW |
| State | IL |
| Zip Code | 60025-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346397007 | Denise K. Ambre | Social Worker | 1920 Waukegan Rd, Suite 4, Glenview, IL 60025-1717 | 2007-01-04 |
| 1831741404 | Glenview Vision Care | Optometrist | 1920 Waukegan Rd, Glenview, IL 60025-1717 | 2019-07-12 |
| 1407173313 | Ivy A. Kwielford | Acupuncturist | 1920 Waukegan Rd, Suite 7, Glenview, IL 60025-1717 | 2010-05-02 |
| 1417123365 | Nathaniel Hope | Social Worker | 1920 Waukegan Rd, Glenview, IL 60025-1717 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790287118 | Nl Speech and Language Path LLC | Speech-Language Pathologist | 1315 Sherwood Rd., Glenview, IL 60025 | 2018-03-01 |
| 1982128021 | Quinn Goodwin | Speech-Language Pathologist | 41 Waukegan Rd., Glenview, IL 60025 | 2017-07-31 |
| 1447773684 | Roshni Jaimon | Nurse Practitioner | 616 Meadow Dr, Glenview, IL 60025 | 2017-07-19 |
| 1053840488 | Progressive Behavior Solutions LLC | Behavioral Analyst | 2519 Allison Court, Glenview, IL 60025 | 2017-06-08 |
| 1720529969 | Catherine Marquard | Social Worker | 1949 Robincrest Ln, Glenview, IL 60025 | 2017-03-20 |
| 1073055398 | Imad Dababneh | Optometrist | 4150 Williamsburg Ct. Apt 101, Glenview, IL 60025 | 2016-11-17 |
| 1417400565 | Megan Bowman | Nutritionist | 1332 Waukegan Rd., Glenview, IL 60025 | 2016-07-25 |
| 1548621402 | Integrated Care Servises Corp | In Home Supportive Care | 4001 Amalfi Dr., Glenview, IL 60025 | 2016-03-18 |
| 1003277237 | Caring Nurses, Inc | Home Health | 1701 East Lake Ave, Suite 360, Glenview, IL 60025 | 2016-03-16 |
| 1033570841 | Sumy Johny | Pharmacist | 25 Waukegan Road, Glenview, IL 60025 | 2016-03-08 |
| Find all providers in zip 60025 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134502891 | All American Midwest Insurance Brokers, Inc. | Supports Brokerage | 1133 N. Dearborn St., Suite 2204, Chicago, IL 60610 | 2015-06-30 |
| 1184051013 | Global Financial Planning | Supports Brokerage | 11701 S Longwood Dr, Chicago, IL 60643-4831 | 2013-10-09 |
| 1821423252 | Shore-murphy and Associates, LLC | Supports Brokerage | 602 Archer Ave, Marshall, IL 62441-1268 | 2013-09-04 |
| 1396037578 | Tasc, Inc | Supports Brokerage | 1500 N Halsted St, Chicago, IL 60642-2517 | 2011-05-06 |
| 1326219643 | Options & Advocacy for Mchenry County | Supports Brokerage | 365 Millennium Dr Ste A, Crystal Lake, IL 60012-3747 | 2008-03-14 |
| 1851454664 | Medical Service and Support LLC Mbfs | Supports Brokerage | 500 Linden Avenue, Oak Park, IL 60302-1659 | 2006-12-19 |
| 1760939623 | The Moodo Insurance Group | Supports Brokerage | 332 S Michigan Ave, Ste 1032, Chicago, IL 60604-4434 | 2016-09-07 |
| 1265737787 | Physicians Laboratory, LLC | Supports Brokerage | 1410 W Fulton St, Suite 204, Chicago, IL 60607-1110 | 2011-01-13 |
| 1982870689 | Options & Advocacy | Supports Brokerage | 365 Millennium Dr Ste A, Crystal Lake, IL 60012-3747 | 2008-05-02 |
| 1417128737 | Options & Advocacy for Mchenry County | Supports Brokerage | 365 Millennium Dr Ste A, Crystal Lake, IL 60012-3747 | 2008-03-14 |
| Find all providers with the same taxonomy | ||||
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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.