CHILDREN'S THERAPY CENTER (NPI# 1255744975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255744975 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S THERAPY CENTER |
| Practice Address |
8729 S Commercial Ave Store Front Chicago IL 60617-3221 |
| Practice Telephone | 3126008493 |
| Mailing Telephone | 3126008493 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Authorized Official Name | HEIDI HOLLIS (CO-OWNER) |
| Authorized Official Telephone | 3126008493 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 056007283 | IL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821494741 | Children's Therapy Center | Day Training, Developmentally Disabled Services | 8729 S Commercial, Chicago, IL 60617 | 2014-11-05 |
| 1871780767 | Children's Therapy Center | Community/Behavioral Health | 127 Tower Rd., Warsaw, MO 65355 | 2007-09-25 |
| 1871008268 | Children's Therapy Center | Occupational Therapist | 155 Granada St Ste A, Camarillo, CA 93010-7725 | 2017-12-06 |
| 1922480334 | Children's Therapy Center | Durable Medical Equipment & Medical Supplies | 127 Sw 156th St, Burien, WA 98166-2562 | 2015-06-22 |
| 1841672250 | Children's Therapy Center | Durable Medical Equipment & Medical Supplies | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2015-06-22 |
| 1487036893 | Children's Therapy Center | Durable Medical Equipment & Medical Supplies | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2015-06-22 |
| 1215051040 | Children's Therapy Center | Community/Behavioral Health | 515 N Park Ave, Sedalia, MO 65301-2717 | 2007-03-19 |
| 1528114469 | Children's Therapy Center | Durable Medical Equipment & Medical Supplies | 10811 Se Kent Kangley Rd, Kent, WA 98030-7108 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CHILDREN'S THERAPY CENTER OF THE QUAD CITIES, NFP | 4450 48th Ave. Ct., Rock Island, IL 61201 |
| Street Address |
8729 S COMMERCIAL AVE STORE FRONT |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-3221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699188300 | Heidi Hollis | Occupational Therapist | 8729 S Commercial Ave, Chicago, IL 60617-3221 | 2014-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770116287 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12101 S La Salle St, Chicago, IL 60628-6618 | 2020-02-13 |
| 1760014625 | Tomeka R Morgan | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11543 S Ashland Ave, Chicago, IL 60643-5001 | 2020-02-10 |
| 1457839821 | Adorn Health, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190 South Lasalle Street, #2100, Chicago, IL 60603-0003 | 2018-07-30 |
| 1215423538 | Alyssa Jaye Saterfield | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1447 W Montrose Ave, Chicago, IL 60613-1348 | 2018-07-10 |
| 1336635135 | Essential Lifestyles LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7408 S Harvard Ave, Chicago, IL 60621-3424 | 2018-07-03 |
| 1184113987 | Ohana Community Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4931 W Thomas St, Chicago, IL 60651-3129 | 2018-05-07 |
| 1124523352 | Tylers Place | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7347 S Claremont Ave, Chicago, IL 60636-3627 | 2018-03-29 |
| 1992207724 | Universal Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12512 S Wallace St, Chicago, IL 60628-7130 | 2018-03-07 |
| 1730623786 | A New Age Human Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5328 W Parker Ave, Chicago, IL 60639-1521 | 2016-12-10 |
| 1831643121 | Lajaed Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8026 S Wood St, Chicago, IL 60620-4546 | 2016-08-04 |
| Find all providers in CHICAGO | ||||
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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.