HUMAN SERVICE CENTER (NPI# 1164692141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164692141 |
| Entity Type | Organization |
| Organization Name | HUMAN SERVICE CENTER |
| Practice Address |
207 N Hasle St Sparta IL 62286-1541 |
| Mailing Address |
10257 State Route 3 Red Bud IL 62278-4418 |
| Practice Telephone | 6184436044 |
| Practice Fax Number | 6184436186 |
| Mailing Telephone | 6182826233 |
| Mailing Fax Number | 6182826949 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | AMY BAUER (MIS COORDINATOR) |
| Authorized Official Telephone | 6182826233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225415136 | Human Service Center | Clinic/Center | 3500 W New Leaf Lane, Retreat Wing, Peoria, IL 61615 | 2015-04-29 |
| 1417207861 | Human Service Center | Clinic/Center | 109 West Elm Street, Okawville, IL 62271 | 2012-09-13 |
| 1952615338 | Human Service Center | Community/Behavioral Health | 600 Fayette St, Peoria, IL 61603-3610 | 2010-07-28 |
| 1841504222 | Human Service Center | Community Based Residential Treatment Facility, Mental Illness | 405 Ne Perry Ave, Peoria, IL 61603-3629 | 2010-07-28 |
| 1578876074 | Human Service Center | Community Based Residential Treatment Facility, Mental Illness | 1924 Sw Adams St, Peoria, IL 61602-1718 | 2010-07-26 |
| 1366755860 | Human Service Center | Community/Behavioral Health | 1200 Hamilton Blvd, Peoria, IL 61606-1525 | 2010-07-26 |
| 1851604359 | Human Service Center | Clinic/Center | 130 N Richard Pryor Pl, Peoria, IL 61605-2484 | 2010-07-26 |
| 1144549494 | Human Service Center | Community/Behavioral Health | 3420 N Rochelle Ln, Peoria, IL 61604-1035 | 2010-05-26 |
| 1013245448 | Human Service Center | Community/Behavioral Health | 1005 Ne Jefferson Ave, Peoria, IL 61603-4064 | 2009-11-23 |
| 1033340773 | Human Service Center | Clinic/Center | 3500 W New Leaf Ln, Peoria, IL 61615-3366 | 2009-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HUMAN SERVICE CENTER | 10257 State Rte 3, Red Bud, IL 62278-4418 |
| Street Address |
207 N HASLE ST |
| City | SPARTA |
| State | IL |
| Zip Code | 62286-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
| Find all providers in zip 62286 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457689192 | Evergreen Manor II | Community Based Residential Treatment Facility, Mental Illness | 8429 Idyllview Ave, Sparta, WI 54656-3617 | 2009-11-18 |
| 1386972024 | Evergreen Manor,inc. | Community Based Residential Treatment Facility, Mental Illness | 8429 Idyllview Ave, Sparta, WI 54656-3617 | 2009-11-18 |
| 1033447776 | Evergreen Manor IIi, Inc | Community Based Residential Treatment Facility, Mental Illness | 8429 Idyllview Ave, Sparta, WI 54656-3617 | 2009-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.