AUNT MARTHA'S YOUTH SERVICE CENTER INC (NPI# 1063678530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063678530 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER INC |
| Practice Address |
1941 Selmarten Rd Aurora IL 60505-1337 |
| Mailing Address |
233 W Joe Orr Rd Chicago Heights IL 60411-1744 |
| Practice Telephone | 7087541044 |
| Mailing Telephone | 7087541044 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Authorized Official Name | JERRY GARVEY (CFO) |
| Authorized Official Telephone | 7087541044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
=========048 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588821532 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 20301 Cottage Grove Ave, Chicago Heights, IL 60411-9667 | 2008-05-19 |
| 1235572751 | Aunt Martha's Youth Service Center Inc | Foster Care Agency | 1 N Center St, Joliet, IL 60435-7407 | 2013-04-15 |
| 1174809503 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 1301 Copperfield Avenue, Suite 201, Joliet, IL 60432-2056 | 2011-10-31 |
| 1396070520 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2009-10-06 |
| 1619201613 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 620 Wing St, Elgin, IL 60123-2800 | 2009-09-23 |
| 1043544141 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 718 N Bridge St, Yorkville, IL 60560-1105 | 2009-09-23 |
| 1205067923 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 64 W 162nd St, Dental Suite, South Holland, IL 60473-2061 | 2009-07-29 |
| 1538339411 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2008-03-06 |
| Street Address |
1941 SELMARTEN RD |
| City | AURORA |
| State | IL |
| Zip Code | 60505-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235159542 | Firstcare Health Services, LLC | Ambulance | 1941 Selmarten Rd, Aurora, IL 60505-1337 | 2006-07-20 |
| 1487947065 | Firstmed, Inc | Ambulance | 1941 Selmarten Rd, Aurora, IL 60505-1337 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705330 | Johnathan Dunn | Counselor | 140 S. Lincoln Ave., Aurora, IL 60505 | 2019-11-27 |
| 1720638224 | Latanya Rush | Technician | 1664 Briarheath Dr, Aurora, IL 60505 | 2019-09-17 |
| 1285282103 | Susan Burroway | Technician | 815 Pearl St., Aurora, IL 60505 | 2019-09-04 |
| 1629624499 | Jean Amanda Nalwoga | Counselor | 1305 E New Indian Trail, Aurora, IL 60505 | 2019-08-16 |
| 1760987515 | Eric Raul Simental | Preventive Medicine | 1014 Claim St, Aurora, IL 60505 | 2018-03-26 |
| 1518408426 | Oluwole Michael Olubajo | Nurse's Aide | 716 Mountain Street, Apt#2e, Aurora, IL 60505 | 2017-03-10 |
| 1881017960 | Anthony Maranto | Counselor | 1305 E. Indian Trail Ct., Aurora, IL 60505 | 2014-01-27 |
| 1891121141 | Smithhealthcare Properties | Assisted Living Facility | 105 E Galena Bvld #3, Aurora, IL 60505 | 2013-09-18 |
| 1003253865 | Laura A Romero | Speech-Language Pathologist | 1770 Daisy St, Aurora, IL 60505 | 2013-06-03 |
| 1972878197 | Donald C. Kellner Dds-aurora PC | Dentist | 143 South Lincoln Ave, Suite A, Aurora, IL 60505 | 2012-03-21 |
| Find all providers in zip 60505 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1891136149 | Vna Health Care | Clinic/Center | 1400 Indian Avenue, Aurora, IL 60505-3136 | 2013-07-16 |
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| 1568707776 | Metro Community Provider Network, Inc. | Clinic/Center | 15501 East 13th Avenue, Aurora, CO 80011-7203 | 2012-11-29 |
| 1558657312 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd Ste 220, Aurora, CO 80011-7112 | 2011-06-21 |
| 1649430174 | Metro Community Provider Network, Inc. | Clinic/Center | 700 Potomac St Ste A, Aurora, CO 80011-6845 | 2008-06-09 |
| 1912021007 | Vna Health Care | Clinic/Center | 56 Jackson St, Aurora, IL 60505-4300 | 2007-03-16 |
| Find all providers in AURORA | ||||
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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.