LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER (NPI# 1447637970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447637970 |
| Entity Type | Organization |
| Organization Name | LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER |
| Other Organization Name | THE SHARE PROGRAM |
| Practice Address |
1776 Moon Lake Blvd 2nd Floor, North Wing Hoffman Estates IL 60169 |
| Mailing Address |
1776 Moon Lake Blvd 2nd Floor, North Wing Hoffman Estates IL 60169-1010 |
| Practice Telephone | 8478824181 |
| Mailing Telephone | 8478824181 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | BRUCE SEWICK (CEO) |
| Authorized Official Telephone | 8474510330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | A-0352-0003-A | IL | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The SHARE Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427227669 | Leyden Family Service & Mental Health Center | Clinic/Center | 10200 Grand Ave, Franklin Park, IL 60131 | 2008-02-21 |
| 1043308943 | Leyden Family Service & Mental Health Center | Clinic/Center | 10001 Grand Avenue, Franklin Park, IL 60131 | 2006-10-10 |
| 1023102712 | Leyden Family Service & Mental Health Center | Clinic/Center | 4600 N. Harlem, Harwood Heights, IL 60706 | 2006-10-03 |
| 1043304546 | Leyden Family Service & Mental Health Center | Clinic/Center | 1776 Moon Lake Blvd., Hoffman Estates, IL 60169 | 2006-10-02 |
| 1518417872 | Leyden Family Service & Mental Health Center | Clinic/Center | 10001 Grand Ave, Franklin Park, IL 60131-2563 | 2016-10-11 |
| Street Address |
1776 MOON LAKE BLVD 2ND FLOOR, NORTH WING |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134518327 | Kara Marie Hoppen | Registered Nurse | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2015-01-12 |
| 1427506609 | Theresa Taylor | Registered Nurse | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-15 |
| 1609324805 | Anna Klimkowicz | Counselor | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-15 |
| 1467900704 | Sheila Konrath | Registered Nurse | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-15 |
| 1962950436 | Jeannettte Bickner | Registered Nurse | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-14 |
| 1417405853 | Mary Jo Curran | Counselor | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-14 |
| 1225585045 | Wesley Moneyhun | Counselor | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-09 |
| 1598212318 | Amy Plante | Counselor | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-09 |
| 1265989040 | Marc Edward Overton | Licensed Practical Nurse | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-08 |
| 1477000404 | Lynn Loichinger | Counselor | 1776 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
| 1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
| 1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
| 1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
| 1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
| 1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
| 1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
| 1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
| 1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
| 1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
| Find all providers in zip 60169 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860729 | New Gen Ed Inc. | Substance Abuse Rehabilitation Facility | 1219 N Gary Ave, Carol Stream, IL 60188-9028 | 2020-10-28 |
| 1578187886 | Silver Glen Road Opco LLC | Substance Abuse Rehabilitation Facility | 41w400 Silver Glen Rd, St Charles, IL 60175-8453 | 2020-06-02 |
| 1669025672 | Gateway Foundation, Inc. | Substance Abuse Rehabilitation Facility | 25480 W Cedar Crest Ln Bldg A, Lake Villa, IL 60046-9744 | 2019-07-18 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1033673165 | Michael David Lauts | Substance Abuse Rehabilitation Facility | 215 E 25th St Apt 228, Sterling, IL 61081-1092 | 2019-01-23 |
| 1457829632 | Hope Behavioral Services At The Jeannine Brent Center Incorporated | Substance Abuse Rehabilitation Facility | 2319 Plainfield Rd, Crest Hill, IL 60403-1875 | 2018-11-06 |
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| Find all providers with the same taxonomy | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60169 |
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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.