HERITAGE BEHAVIORAL HEALTH CENTER


Address: 788 E Clay St, Decatur, IL 62521-2613
Phone: 2173626262

HERITAGE BEHAVIORAL HEALTH CENTER (NPI# 1477727808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477727808
Entity Type Organization
Organization Name HERITAGE BEHAVIORAL HEALTH CENTER
Other Organization Name DECATUR MENTAL HEALTH CENTER
Practice Address 788 E Clay St
Decatur
IL 62521-2613
Mailing Address Po Box 710
Decatur
IL 62525-0710
Practice Telephone 2173626262
Practice Fax Number 2173626290
Mailing Telephone 2173626262
Enumeration Date 2008-04-16
Last Update Date 2008-04-20
Authorized Official Name DIANA L KNAEBE (PRESIDENT/CEO)
Authorized Official Telephone 2173626262
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness ========= IL Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Decatur Mental Health Center Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821540865 Heritage Behavioral Health Center Counselor 1029 N Water St, Decatur, IL 62523-1022 2016-10-25
1699226563 Heritage Behavioral Health Center Community/Behavioral Health 300 E Eldorado St, Decatur, IL 62523-1037 2016-10-17
1144771015 Heritage Behavioral Health Center Community/Behavioral Health 1 Educational Park, Decatur, IL 62526-2548 2016-10-17
1245781129 Heritage Behavioral Health Center Community/Behavioral Health 4735 E Cantrell St, Decatur, IL 62521-8720 2016-10-17
1053862920 Heritage Behavioral Health Center Community/Behavioral Health 300 Meadow Terrace Pl, Decatur, IL 62521-5252 2016-10-17
1528519584 Heritage Behavioral Health Center Community/Behavioral Health 1499 W Grand Ave, Decatur, IL 62522-1410 2016-10-14
1922277045 Heritage Behavioral Health Center Community Based Residential Treatment Facility, Mental Illness 1421 E Orchard St, Decatur, IL 62521-1459 2008-02-22
1508341371 Heritage Behavioral Health Center Case Manager/Care Coordinator 151 N Main St, Decatur, IL 62523-1206 2018-09-27
1235663949 Heritage Behavioral Health Center Counselor 40 Clinton Plz, Hwy 54, Clinton, IL 61727-2100 2017-04-19
1881128965 Heritage Behavioral Health Center Community/Behavioral Health 40 Clinton Plz, Hwy 54, Clinton, IL 61727-2100 2017-04-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities HERITAGE BEHAVIORAL HEALTH CENTER, INC. 151 N Main St, Decatur, IL 62523-1206

Office Location

Street Address 788 E CLAY ST
City DECATUR
State IL
Zip Code 62521-2613

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1104133099 Suzette Marie Shafer Occupational Therapy Assistant 1790 S. Fairview Ave., Decatur, IL 62521 2010-09-13
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407491277 Twin Doves II LLC Community Based Residential Treatment Facility, Mental Illness 40739 80th Ave, Decatur, MI 49045-8158 2019-11-15
1508391756 Mister Life Coach Community Based Residential Treatment Facility, Mental Illness 3681 N Decatur Rd Apt R11, Decatur, GA 30032-1062 2017-04-25
1699177295 Morgan County System of Services, Inc. Community Based Residential Treatment Facility, Mental Illness 3402 Tanglewood Dr Sw, Decatur, AL 35603-1332 2014-09-25
1184059107 We The Family Wellness Home Community Based Residential Treatment Facility, Mental Illness 1322 Columbia Dr, Decatur, GA 30032-2826 2013-09-10
1194075085 Morgan County System of Services, Inc. Community Based Residential Treatment Facility, Mental Illness 1611 Church St Se, Decatur, AL 35601-3401 2012-09-18
1922353549 Adolescent Advocacy Center Community Based Residential Treatment Facility, Mental Illness 312 Rimington Ln, Decatur, GA 30030-2134 2012-07-19
1922277045 Heritage Behavioral Health Center Community Based Residential Treatment Facility, Mental Illness 1421 E Orchard St, Decatur, IL 62521-1459 2008-02-22
1659544872 Heritage Behavioral Health Center Community Based Residential Treatment Facility, Mental Illness 631 W Main St, Decatur, IL 62522-2411 2008-04-09

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NPI Name Taxonomy Address Enumeration
1245851690 Brown Health Care Solutions LLC Community Based Residential Treatment Facility, Mental Illness 7330 S Blackstone Ave, Chicago, IL 60619-2150 2020-04-27
1376187617 Haven Pointe L3c Community Based Residential Treatment Facility, Mental Illness 4056 W 115th St Apt 100, Chicago, IL 60655-4333 2019-10-30
1386285682 Monte Nido Illinois, LLC Community Based Residential Treatment Facility, Mental Illness 28w510 Washington Ave, Winfield, IL 60190-1537 2019-10-08
1285281188 Demetrious Walker Community Based Residential Treatment Facility, Mental Illness 2430 Athens Rd, Olympia Fields, IL 60461-1954 2019-08-25
1093209264 Lester & Rosalie Anixter Center Community Based Residential Treatment Facility, Mental Illness 5108 W Roscoe St, Chicago, IL 60641-4204 2018-06-20
1689124877 Cornerstone Suppport Cila Home Community Based Residential Treatment Facility, Mental Illness 125 E 144th Ct, Harvey, IL 60426-1218 2016-10-11
1124575733 Robert Young Center Community Based Residential Treatment Facility, Mental Illness 2701 - 17 Street, Rockisland, IL 61201 2016-09-01
1578910063 Stepping Stones of Rockford, Inc Community Based Residential Treatment Facility, Mental Illness 3319 Darwood Dr, Rockford, IL 61101-2727 2016-05-16
1588018162 Stepping Stones of Rockford, Inc Community Based Residential Treatment Facility, Mental Illness 3729 N Main St, Rockford, IL 61103-1611 2016-04-20
1194194175 Compassion Cila Homes Inc Community Based Residential Treatment Facility, Mental Illness 304 Springfield St, Park Forest, IL 60466-1145 2015-09-18
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Competitor

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City DECATUR
Zip Code 62521

Improve Information

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Dataset Information

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.

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