AUNT MARTHAS YOUTH SERVICE CENTER INC (NPI# 1922148501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922148501 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHAS YOUTH SERVICE CENTER INC |
| Practice Address |
1536 Vincennes Ave Chicago Heights IL 60411-3458 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | MR. CHRISTOPHER J NORDLOH (CFO) |
| Authorized Official Telephone | 7087477100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
=========035 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235432436 | Aunt Marthas Youth Service Center Inc | Foster Care Agency | 400 Forest Blvd, Park Forest, IL 60466-2002 | 2010-12-09 |
| 1871724369 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 52 W 162nd St, South Holland, IL 60473-2061 | 2009-07-31 |
| 1336310523 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 602 Torrence Ave, Calumet City, IL 60409-3813 | 2008-03-17 |
| 1811171143 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 3528 E 118th St, Chicago, IL 60617-7314 | 2007-12-21 |
| 1104954890 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 317 E Indian Trl, Aurora, IL 60505-1734 | 2007-03-02 |
| 1356481899 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 2124 Ogden Ave, Aurora, IL 60504-7595 | 2007-02-07 |
| 1184764730 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 159 E 154th St, Harvey, IL 60426-3325 | 2007-02-06 |
| 1790825347 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 1777 E Court St, Kankakee, IL 60901-2670 | 2007-02-06 |
| 1144523341 | Aunt Marthas Youth Service Center Inc | Foster Care Agency | 191 W 155th Pl, Harvey, IL 60426-3413 | 2010-12-09 |
| 1619104098 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2009-06-12 |
| Street Address |
1536 VINCENNES AVE |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164819215 | Brittani James | Family Medicine | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2015-04-15 |
| 1033353792 | Ted George Ody Achufusi | Family Medicine | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2009-04-26 |
| 1932386679 | Veronica Rose Hiltscher | Social Worker | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2008-01-24 |
| 1780800391 | Jose Valle | Dentist | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2007-04-18 |
| 1033232749 | Jennifer Byrd | Family Medicine | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2007-04-09 |
| 1013032523 | Aunt Martha's Health Care | Clinic/Center | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2007-03-21 |
| 1912030305 | Aunt Marthas | Clinic/Center | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| 1861723611 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 233 Wjoe Orr Rd, North Building, Chicago Heights, IL 60411 | 2010-01-19 |
| 1588821532 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 20301 Cottage Grove Ave, Chicago Heights, IL 60411-9667 | 2008-05-19 |
| 1447723564 | Grand Prairie Services | Clinic/Center | 450 W 14th St, Chicago Heights, IL 60411-2463 | 2019-01-11 |
| 1831239490 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 233 W Joe Orr Rd, South Building, Chicago Heights, IL 60411-1744 | 2007-02-06 |
| 1366514887 | Access Community Health Network | Clinic/Center | 152 W Lincoln Hwy, Chicago Heights, IL 60411-2619 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
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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.