SOLID GROUND FOUNDATION FOR BEHAVIORAL SERVICES (NPI# 1477160620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477160620 |
| Entity Type | Organization |
| Organization Name | SOLID GROUND FOUNDATION FOR BEHAVIORAL SERVICES |
| Practice Address |
2033 198th Street Lynwood IL 60411-6080 |
| Mailing Address |
11940 S Springfield Ave Alsip IL 60803-1117 |
| Practice Telephone | 7089694109 |
| Mailing Telephone | 7084802475 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | INONGE L. MASON (PRESIDENT) |
| Authorized Official Telephone | 7089694109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2033 198TH STREET |
| City | LYNWOOD |
| State | IL |
| Zip Code | 60411-6080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578990644 | His Gifts Inc | Community/Behavioral Health | 12204 South San Pedro Street Los Angeles, Ca 90061, 10910 Long Beach Blvd Suite 103, Lynwood, CA 90262 | 2013-10-03 |
| 1578800280 | Shields for Families | Community/Behavioral Health | 11705 Deputy Yamamoto Pl Ste A, Lynwood, CA 90262-4031 | 2013-01-15 |
| 1437404340 | Atlantic Recovery Services | Community/Behavioral Health | 11387 Bullis Rd, Lynwood, CA 90262-3660 | 2012-07-17 |
| 1972864858 | Children's Institute, Inc | Community/Behavioral Health | 2610 Industry Way Blvd., Suite C, Lynwood, CA 90262-4283 | 2012-06-06 |
| 1073809687 | Atlantic Recovery Services | Community/Behavioral Health | 3898 Abbott Rd, Lynwood, CA 90262-2106 | 2011-06-22 |
| 1902192511 | Atlantic Recovery Services | Community/Behavioral Health | 11300 Spruce St, Lynwood, CA 90262-3629 | 2011-06-22 |
| 1386930089 | Atlantic Recovery Services | Community/Behavioral Health | 11300 Wright Rd, Lynwood, CA 90262-3126 | 2011-06-22 |
| 1326334939 | Atlantic Recovery Services | Community/Behavioral Health | 4050 E Imperial Hwy, Lynwood, CA 90262-2853 | 2011-06-22 |
| 1093009037 | Atlantic Recovery Services | Community/Behavioral Health | 5246 Martin Luther King Jr Blvd, Lynwood, CA 90262-3903 | 2011-06-07 |
| 1376778860 | Shields for Families | Community/Behavioral Health | 2620 Industry Way Ste E-f, Lynwood, CA 90262-4024 | 2009-05-27 |
| Find all providers in LYNWOOD | ||||
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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.