AUNT MARTHA'S YOUTH SERVICE CENTER, INC (NPI# 1467991323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467991323 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER, INC |
| Other Organization Name | AUNT MARTHA'S ADAPT |
| Practice Address |
1777 E Court St Lower Level Kankakee IL 60901-2670 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 8776928686 |
| Mailing Telephone | 8776928686 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | MARY MARTIN (CFO) |
| Authorized Official Telephone | 7088255976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aunt Martha's ADAPT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| 1861723611 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 233 Wjoe Orr Rd, North Building, Chicago Heights, IL 60411 | 2010-01-19 |
| 1881838050 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 1658 Thorn St, Chicago Heights, IL 60411-3453 | 2009-05-01 |
| 1316181597 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 101 Wolpers Rd, Park Forest, IL 60466 | 2009-05-01 |
| 1053555235 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 14449 Vanburen, Dolton, IL 60419 | 2009-05-01 |
| 1427292606 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 1540 Scott Ave, Chicago Heights, IL 60411-3254 | 2009-05-01 |
| 1144464322 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 3125 E 131st St, Chicago, IL 60633-1315 | 2009-05-01 |
| 1417191693 | Aunt Martha's Youth Service Center, Inc | Community Based Residential Treatment Facility, Mental Illness | 123 Salt Lake St, Aurora, IL 60506 | 2009-05-01 |
| 1780828962 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 23485 Western Ave, Park Forest, IL 60466-2609 | 2009-05-01 |
| Street Address |
1777 E COURT ST LOWER LEVEL |
| City | KANKAKEE |
| State | IL |
| Zip Code | 60901-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790825347 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 1777 E Court St, Kankakee, IL 60901-2670 | 2007-02-06 |
| 1861965543 | Angela D Beal | Nurse Practitioner | 1777 E Court St, Kankakee, IL 60901-2670 | 2019-01-06 |
| 1932675006 | Glory Obianuju Ikerodah | Nurse Practitioner | 1777 E Court St, Kankakee, IL 60901-2670 | 2018-10-16 |
| 1487191540 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2017-01-27 |
| 1205235884 | Jutun R Andrews-king | Nurse Practitioner | 1777 E Court St, Kankakee, IL 60901-2670 | 2014-08-19 |
| 1396070520 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2009-10-06 |
| 1790949808 | Hemavathi Patil | Dentist | 1777 E Court St, Kankakee, IL 60901-2670 | 2008-07-17 |
| 1538339411 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2008-03-06 |
| 1972705192 | Aunt Martha's Youth Service Center | Clinic/Center | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978841 | William Mitsos Dds | Dentist | 1291 S. 7th Ave, Kankakee, IL 60901 | 2020-09-30 |
| 1922653682 | Jody Mcguyer, Lcpc, Cadc Counseling Services, LLC | Counselor | 315 W. Court St., Kankakee, IL 60901 | 2019-08-08 |
| 1700346327 | Sarah Elizabeth Toma | Speech-Language Pathologist | 200 E Court St #708, Kankakee, IL 60901 | 2019-03-20 |
| 1710473160 | Small Talk Speech Services, LLC | Clinic/Center | 1439 W Vanmeter St, Kankakee, IL 60901 | 2018-07-09 |
| 1124538004 | Amy J Green | Physical Therapist | 350 N. Wall Street, Kankakee, IL 60901 | 2017-10-05 |
| 1013457514 | Elizabeth Ann Smith | Registered Nurse | 292 Charlton Lane, Kankakee, IL 60901 | 2017-03-02 |
| 1861931461 | Stacey E. Brown | Nurse Practitioner | 207 N. Schuyler Ave., Kankakee, IL 60901 | 2017-02-15 |
| 1417352105 | Provider Healthcare Services, Inc | Home Health | 555 South Schuyler, Suite 275, Kankakee, IL 60901 | 2014-10-24 |
| 1265850655 | Ronald George Testa | Dentist | 202 N. Schuyler Ave, Kankakee, IL 60901 | 2014-04-02 |
| 1245587898 | Mary Beth Wertz | Registered Nurse | 100 N Jeffery Street, Kankakee, IL 60901 | 2012-08-13 |
| Find all providers in zip 60901 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043345119 | Duane Dean Behavioral Health Center | Clinic/Center | 700 E Court St, Kankakee, IL 60901-4131 | 2007-02-22 |
| 1952805814 | Iroquois Mental Health Center | Clinic/Center | 70 Meadowview Ctr Ste 100, Kankakee, IL 60901-2047 | 2018-03-23 |
| 1942688973 | Ddbhc Family Centered Treatment and Recovery Support Services | Clinic/Center | 700 E Court St, Kankakee, IL 60901-4131 | 2015-05-11 |
| 1619144870 | Riverside Medical Center | Clinic/Center | 350 N Wall St, Kankakee, IL 60901-2901 | 2008-05-15 |
| 1972705192 | Aunt Martha's Youth Service Center | Clinic/Center | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2007-06-01 |
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| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| 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.