HERITAGE BEHAVIORAL HEALTH CENTER (NPI# 1922277045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922277045 |
| Entity Type | Organization |
| Organization Name | HERITAGE BEHAVIORAL HEALTH CENTER |
| Other Organization Name | DECATUR MENTAL CENTER |
| Practice Address |
1421 E Orchard St Decatur IL 62521-1459 |
| Mailing Address |
Po Box 710 Decatur IL 62525-0710 |
| Practice Telephone | 2173626262 |
| Mailing Telephone | 2173626262 |
| Mailing Fax Number | 2173626290 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DIANA KNAEBE (PRESIDENT/CEO) |
| Authorized Official Telephone | 2173626262 |
| Is Organization Subpart | Y |
| Parent Organization Name | HERITAGE BEHAVIORAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | T========= | IL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Decatur Mental Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821540865 | Heritage Behavioral Health Center | Counselor | 1029 N Water St, Decatur, IL 62523-1022 | 2016-10-25 |
| 1699226563 | Heritage Behavioral Health Center | Community/Behavioral Health | 300 E Eldorado St, Decatur, IL 62523-1037 | 2016-10-17 |
| 1144771015 | Heritage Behavioral Health Center | Community/Behavioral Health | 1 Educational Park, Decatur, IL 62526-2548 | 2016-10-17 |
| 1245781129 | Heritage Behavioral Health Center | Community/Behavioral Health | 4735 E Cantrell St, Decatur, IL 62521-8720 | 2016-10-17 |
| 1053862920 | Heritage Behavioral Health Center | Community/Behavioral Health | 300 Meadow Terrace Pl, Decatur, IL 62521-5252 | 2016-10-17 |
| 1528519584 | Heritage Behavioral Health Center | Community/Behavioral Health | 1499 W Grand Ave, Decatur, IL 62522-1410 | 2016-10-14 |
| 1477727808 | Heritage Behavioral Health Center | Community Based Residential Treatment Facility, Mental Illness | 788 E Clay St, Decatur, IL 62521-2613 | 2008-04-16 |
| 1508341371 | Heritage Behavioral Health Center | Case Manager/Care Coordinator | 151 N Main St, Decatur, IL 62523-1206 | 2018-09-27 |
| 1235663949 | Heritage Behavioral Health Center | Counselor | 40 Clinton Plz, Hwy 54, Clinton, IL 61727-2100 | 2017-04-19 |
| 1881128965 | Heritage Behavioral Health Center | Community/Behavioral Health | 40 Clinton Plz, Hwy 54, Clinton, IL 61727-2100 | 2017-04-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HERITAGE BEHAVIORAL HEALTH CENTER, INC. | 151 N Main St, Decatur, IL 62523-1206 |
| Street Address |
1421 E ORCHARD ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-1459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
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| 1184059107 | We The Family Wellness Home | Community Based Residential Treatment Facility, Mental Illness | 1322 Columbia Dr, Decatur, GA 30032-2826 | 2013-09-10 |
| 1194075085 | Morgan County System of Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1611 Church St Se, Decatur, AL 35601-3401 | 2012-09-18 |
| 1922353549 | Adolescent Advocacy Center | Community Based Residential Treatment Facility, Mental Illness | 312 Rimington Ln, Decatur, GA 30030-2134 | 2012-07-19 |
| 1477727808 | Heritage Behavioral Health Center | Community Based Residential Treatment Facility, Mental Illness | 788 E Clay St, Decatur, IL 62521-2613 | 2008-04-16 |
| 1659544872 | Heritage Behavioral Health Center | Community Based Residential Treatment Facility, Mental Illness | 631 W Main St, Decatur, IL 62522-2411 | 2008-04-09 |
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|---|---|---|---|---|
| 1245851690 | Brown Health Care Solutions LLC | Community Based Residential Treatment Facility, Mental Illness | 7330 S Blackstone Ave, Chicago, IL 60619-2150 | 2020-04-27 |
| 1376187617 | Haven Pointe L3c | Community Based Residential Treatment Facility, Mental Illness | 4056 W 115th St Apt 100, Chicago, IL 60655-4333 | 2019-10-30 |
| 1386285682 | Monte Nido Illinois, LLC | Community Based Residential Treatment Facility, Mental Illness | 28w510 Washington Ave, Winfield, IL 60190-1537 | 2019-10-08 |
| 1285281188 | Demetrious Walker | Community Based Residential Treatment Facility, Mental Illness | 2430 Athens Rd, Olympia Fields, IL 60461-1954 | 2019-08-25 |
| 1093209264 | Lester & Rosalie Anixter Center | Community Based Residential Treatment Facility, Mental Illness | 5108 W Roscoe St, Chicago, IL 60641-4204 | 2018-06-20 |
| 1689124877 | Cornerstone Suppport Cila Home | Community Based Residential Treatment Facility, Mental Illness | 125 E 144th Ct, Harvey, IL 60426-1218 | 2016-10-11 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1578910063 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3319 Darwood Dr, Rockford, IL 61101-2727 | 2016-05-16 |
| 1588018162 | Stepping Stones of Rockford, Inc | Community Based Residential Treatment Facility, Mental Illness | 3729 N Main St, Rockford, IL 61103-1611 | 2016-04-20 |
| 1194194175 | Compassion Cila Homes Inc | Community Based Residential Treatment Facility, Mental Illness | 304 Springfield St, Park Forest, IL 60466-1145 | 2015-09-18 |
| 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.