TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES


Address: 108 Sw Madison Ave, Peoria, IL 61602-1107
Phone: 3096733769

TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES (NPI# 1902260276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902260276
Entity Type Organization
Organization Name TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES
Other Organization Name TASC, INC.
Practice Address 108 Sw Madison Ave
Peoria
IL 61602-1107
Mailing Address 700 S Clinton St
Chicago
IL 60607-4350
Practice Telephone 3096733769
Practice Fax Number 3096734076
Mailing Telephone 3127870207
Mailing Fax Number 3127879663
Enumeration Date 2016-04-12
Last Update Date 2016-11-30
Authorized Official Name MR. ROY FESMIRE (VICE PRESIDENT AND CFO)
Authorized Official Telephone 3127870208
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251S00000X Community/Behavioral Health 13001 IL Agencies
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
13001 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL 13001 05

Other Provider/Organization Names

Other Name Type Code
TASC, Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295194496 Treatment Alternatives for Safe Communities Community/Behavioral Health 2600 S California Ave, Chicago, IL 60608-5146 2016-02-16
1851750335 Treatment Alternatives for Safe Communities Community/Behavioral Health 628 - 630 East Washington Street, Springfield, IL 62701-1304 2016-02-12
1821456203 Treatment Alternatives for Safe Communities Community/Behavioral Health 1504 3rd Ave, Rock Island, IL 61201-8612 2016-02-01
1104284587 Treatment Alternatives for Safe Communities Community/Behavioral Health 401 W State St, Rockford, IL 61101-1248 2016-02-01
1992163380 Treatment Alternatives for Safe Communities Community/Behavioral Health 108 Sw Madison Ave, Peoria, IL 61602-1107 2016-02-01
1194150805 Treatment Alternatives for Safe Communities Case Management 2320 W Roosevelt Rd, Chicago, IL 60608-1131 2013-09-12
1881804821 Treatment Alternatives for Safe Communities Case Management 700 S Clinton St, Chicago, IL 60607-4350 2007-05-22
1881132959 Treatment Alternatives for Safe Communities Clinical Medical Laboratory 700 S Clinton St, Chicago, IL 60607-4350 2017-02-08
1952849036 Treatment Alternatives for Safe Communities Clinical Medical Laboratory 401 W State St, Rockford, IL 61101-1248 2017-02-08
1083168496 Treatment Alternatives for Safe Communities Community/Behavioral Health 401 W State St, Rockford, IL 61101-1248 2016-08-15

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities TREATMENT ALTERNATIVES FOR SAFE COMMUNITIES 700 S Clinton St, Chicago, IL 60607-4350

Office Location

Street Address 108 SW MADISON AVE
City PEORIA
State IL
Zip Code 61602-1107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992163380 Treatment Alternatives for Safe Communities Community/Behavioral Health 108 Sw Madison Ave, Peoria, IL 61602-1107 2016-02-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720574676 Critical Care Rx, LLC Pharmacy 126 Oak St, Peoria, IL 61602 2018-07-03
1235675836 Cheryl Beckman Registered Nurse 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 2017-01-06
1063957942 Rosemary Ince Registered Nurse 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 2016-12-30
1962674820 Lisa Jean Burckhartzmeyer Psychiatry & Neurology 228 Ne Jefferson St, Peoria, IL 61602 2008-03-31
1669503587 Jill Larson Counselor 330 Sw Washington Street, Peoria, IL 61602 2007-03-09
1265407399 Cardiac Consultants Sc Internal Medicine 900 Main Street, Suite 320, Peoria, IL 61602 2006-02-22
1013364470 Rafal Szymczuk Student in an Organized Health Care Education/Training Program 900 Main Street, Suite 720, Peoria, IL 61602 2016-05-16
1043693831 Kari Beth Watts Family Medicine 815 Main St, Peoria, IL 61602 2015-06-30
1881072791 Kristen Dent Family Medicine 815 Main St, Peoria, IL 61602 2015-05-12
1023422797 Andrew Wang Psychiatry & Neurology 900 Main St Ste 580, Peoria, IL 61602 2014-06-20
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1851604359 Human Service Center Clinic/Center 130 N Richard Pryor Pl, Peoria, IL 61605-2484 2010-07-26
1245363894 Phoenix Christian Counseling Associates Clinic/Center 8419 W Wethersfield Rd, Peoria, AZ 85381-8123 2007-03-13
1396876140 Counseling & Family Services Clinic/Center 330 Sw Washington St, Peoria, IL 61602-1417 2007-03-07
1235219973 D Teichmann PC Clinic/Center 4715 N Laurel Dr, Peoria, IL 61614-5533 2006-10-17
1689299976 Phoenix Christian Psychotherapy Services LLC Clinic/Center 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 2020-06-11
1760918254 Faith Solutions To Mental Health Clinic/Center 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 2017-05-04
1740533900 Children's Home Association of Illinois Clinic/Center 2011 N Knoxville Ave, Peoria, IL 61603-2414 2012-10-24
1093029308 Human Service Center Clinic/Center 2101 W Willow Knolls Dr, Peoria, IL 61614-1219 2010-07-28
1720392038 Human Service Center Clinic/Center 3500 W New Leaf Ln, Peoria, IL 61615-3366 2010-07-28
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Competitor

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City PEORIA
Zip Code 61602

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Dataset Information

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.

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