DHS (NPI# 1356890453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356890453 |
| Entity Type | Organization |
| Organization Name | DHS |
| Practice Address |
109 W Wilson St Fairfield IL 62837-1816 |
| Practice Telephone | 6185162920 |
| Mailing Telephone | 6185162920 |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | JENNIFER WEEDMAN (CNA) |
| Authorized Official Telephone | 6185162920 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 376K00000X | IL | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | DHS & COMPANY INC. | 200 White Plains Road, Suite 155, Tarrytown, Ny 10591 |
| System for Award Management (SAM) Entities | DHS - FINANCIAL SERVICES | 500 Summer St Ne # E86, Salem, OR 97301-1063 |
| Colorado Business Entities | DHS 1 LLC | 2816 E. Robinson, Orlando, FL 32803 |
| Colorado Business Entities | DHS 17 Ventures, LLC | 805 Trione Avenue, Daphne, AL 36526 |
| Colorado Business Entities | DHS 2 LLC | 2816 E. Robinson, Orlando, FL 32803 |
| Colorado Business Entities | DHS 26148 HWY 550 LLC | 6475 County Road 203, Durango, CO 81301 |
| New York State Corporations | DHS 429 WEST STREET LLC | 245 Saw Mill River Rd., Hawthorne, Ny 10532 |
| Colorado Business Entities | DHS 45 CR 252 LLC | 6475 County Road 203, Durango, CO 81301 |
| Colorado Business Entities | DHS 6475 CR 203 LLC | 6475 County Road 203, Durango, CO 81301 |
| Colorado Business Entities | DHS Accounting Services | Po Box 2099, Edwards, CO 81632 |
| Street Address |
109 W WILSON ST |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-1816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922463439 | Baltic Sea Manor | Residential Treatment Facility, Physical Disabilities | 5227 Oakridge Dr, Fairfield, CA 94534-6619 | 2015-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790150340 | Mary Kay Yarak | Residential Treatment Facility, Physical Disabilities | 1537 N Washtenaw Ave, Chicago, IL 60622-1636 | 2015-12-08 |
| 1629448592 | Lilia Perez | Residential Treatment Facility, Physical Disabilities | 225 Westview St, Hoffman Estates, IL 60169-3055 | 2015-10-04 |
| 1912394354 | Rehab Care | Residential Treatment Facility, Physical Disabilities | 5112 Johnson Ave, Western Springs, IL 60558-1913 | 2015-04-23 |
| 1871897694 | Unicare Home Health Inc. | Residential Treatment Facility, Physical Disabilities | 3862 Rita Dr, Richton Park, IL 60471-1283 | 2011-01-09 |
| 1598942252 | Home Bound Eye Care Services Ltd | Residential Treatment Facility, Physical Disabilities | 5301 Touhy Ave, Suite 100, Skokie, IL 60077-3247 | 2008-01-24 |
| 1922185958 | Dav-kim Portable X Ray Service Co | Residential Treatment Facility, Physical Disabilities | 8235 Christiana Ave, Skokie, IL 60076-2910 | 2006-11-01 |
| 1609890235 | State of Illinois | Residential Treatment Facility, Physical Disabilities | 2424w.charleston, Chicago, IL 60647 | 2006-07-27 |
| 1619359866 | Ton Shen Health, Inc. | Residential Treatment Facility, Physical Disabilities | 665 Pasquinelli Dr, Suite 203, Westmont, IL 60559-1279 | 2015-06-24 |
| 1285013235 | Quality Therapy and Consultation | Residential Treatment Facility, Physical Disabilities | 28w141 Liberty St, Winfield, IL 60190-1955 | 2015-05-22 |
| 1801298690 | Ella Ostrovskaya Dpm, S.c. | Residential Treatment Facility, Physical Disabilities | 3631 N Harlem Ave, Chicago, IL 60634-2237 | 2014-09-23 |
| 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.