SPERO FAMILY SERVICES (NPI# 1194036665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194036665 |
Entity Type | Organization |
Organization Name | SPERO FAMILY SERVICES |
Other Organization Name | UNITED METHODIST CHILDREN'S HOME OF SOUTHERN ILLINOIS INC. |
Practice Address |
2023 Richview Rd Mount Vernon IL 62864-2884 |
Practice Telephone | 6182421070 |
Practice Fax Number | 6182429381 |
Mailing Telephone | 6182421070 |
Mailing Fax Number | 6182429381 |
Enumeration Date | 2010-06-29 |
Last Update Date | 2017-04-05 |
Authorized Official Name | MR. JOHN SHADOWENS (PRESIDENT/CEO) |
Authorized Official Telephone | 6182421070 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 5000-IPI-029 | IL | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 5000-IPI-029 | 05 |
Other Name | Type Code |
---|---|
United Methodist Children's Home of Southern Illinois Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437661006 | Spero Family Services | Community/Behavioral Health | 403 N 42nd St Ste C, Mount Vernon, IL 62864-2297 | 2017-11-03 |
1255862611 | Spero Family Services | Community/Behavioral Health | 101 Masonic Dr, Murphysboro, IL 62966-1959 | 2017-03-27 |
1447561378 | Spero Family Services | Foster Care Agency | 201 North 27th Street, Mount Vernon, IL 62864 | 2010-06-25 |
1497071989 | Spero Family Services | Community/Behavioral Health | 218 E Main St, West Frankfort, IL 62896-2406 | 2010-04-09 |
1750604963 | Spero Family Services | Community/Behavioral Health | 107 Shiloh Dr, Mount Vernon, IL 62864-7301 | 2010-03-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SPERO FAMILY SERVICES | 2023 Richview Rd, Mount Vernon, IL 62864-2884 |
Street Address |
2023 RICHVIEW RD |
City | MOUNT VERNON |
State | IL |
Zip Code | 62864-2884 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649495680 | Christopher Shawn Lucas | Counselor | 2023 Richview Rd, Mount Vernon, IL 62864-2884 | 2007-04-16 |
1811479942 | Tammy Sweet | Counselor | 2023 Richview Rd, Mount Vernon, IL 62864-2884 | 2018-09-05 |
1720573751 | Justine Rachel Schmitt | Counselor | 2023 Richview Rd, Mount Vernon, IL 62864-2884 | 2018-06-22 |
1467771907 | Tom Andrew Duff | Social Worker | 2023 Richview Rd, Mount Vernon, IL 62864-2884 | 2010-05-24 |
1619146115 | United Methodist Children's Home of Southern Illinois Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2023 Richview Rd, Mount Vernon, IL 62864-2884 | 2008-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619438892 | Melissa Pryer | Dietitian, Registered | 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 | 2019-03-28 |
1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
1851889208 | Kimberly Tate | Counselor | 4110 North Water Place, Mt. Vernon, IL 62864 | 2018-05-01 |
1871907790 | University Hematology Oncology Inc | Specialist | #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 | 2014-06-18 |
1457771677 | Dynamic Counseling and Consultation Services | Social Worker | 3600 S Water Tower Pl, Mt Vernon, IL 62864 | 2014-04-27 |
1619239431 | Judith C Morgan | Counselor | 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-06-08 |
1073888624 | James Brian Verges | Counselor | 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 | 2012-03-15 |
1720352271 | Lucinda M. Holdren | Counselor | 16338 North Illinois Highway 37, Mount Vernon, IL 62864 | 2012-03-01 |
1780978627 | Jamie M Orange | Physical Therapy Assistant | 19958 Fairfield Rd, Mt. Vernon, IL 62864 | 2011-06-08 |
1780978791 | Wendy Marie Claytor | Speech-Language Pathologist | 600 E Il Hwy 15, Mount Vernon, IL 62864 | 2011-06-07 |
Find all providers in zip 62864 |
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 |
---|---|---|---|---|
1447663067 | 187 Cottage Avenue Corp | Community Based Residential Treatment Facility, Mental Illness | 187 Cottage Ave, Mount Vernon, NY 10550-1446 | 2014-06-11 |
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 |
City | MOUNT VERNON |
Zip Code | 62864 |
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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.