AUNT MARTHA'S YOUTH SERVICE CENTER INC (NPI# 1538339411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538339411 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER INC |
| Practice Address |
1777 E Court St Kankakee IL 60901-2670 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 8159370100 |
| Practice Fax Number | 8159371823 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2010-12-02 |
| Authorized Official Name | MR. CHRISTOPHER J NORDLOH (CFO) |
| Authorized Official Telephone | 7087477100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588821532 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 20301 Cottage Grove Ave, Chicago Heights, IL 60411-9667 | 2008-05-19 |
| 1235572751 | Aunt Martha's Youth Service Center Inc | Foster Care Agency | 1 N Center St, Joliet, IL 60435-7407 | 2013-04-15 |
| 1174809503 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 1301 Copperfield Avenue, Suite 201, Joliet, IL 60432-2056 | 2011-10-31 |
| 1396070520 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2009-10-06 |
| 1619201613 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 620 Wing St, Elgin, IL 60123-2800 | 2009-09-23 |
| 1043544141 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 718 N Bridge St, Yorkville, IL 60560-1105 | 2009-09-23 |
| 1205067923 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 64 W 162nd St, Dental Suite, South Holland, IL 60473-2061 | 2009-07-29 |
| 1063678530 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 1941 Selmarten Rd, Aurora, IL 60505-1337 | 2008-08-04 |
| Street Address |
1777 E COURT ST |
| 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 |
| 1467991323 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2017-02-13 |
| 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 |
| 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 | 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 |
|---|---|---|---|---|
| 1780188367 | Iroquois Mental Health Center | Community/Behavioral Health | 70 Meadowview Ctr Ste 100, Kankakee, IL 60901-2047 | 2018-03-20 |
| 1467835488 | Community Alternatives Illinois, Inc. | Community/Behavioral Health | 895 S Leslie Ave, Kankakee, IL 60901-4557 | 2015-07-08 |
| 1730562752 | Community Alternatives Illinois, Inc. | Community/Behavioral Health | 1017 S Curtis Ave, Kankakee, IL 60901-4511 | 2015-07-08 |
| 1376926394 | Community Alternatives Illinois, Inc. | Community/Behavioral Health | 769 W Brighton St, Kankakee, IL 60901-4724 | 2015-07-08 |
| 1225410434 | Community Alternatives Illinois, Inc. | Community/Behavioral Health | 885 S 7th Ave, Kankakee, IL 60901-4701 | 2015-06-24 |
| 1871984500 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 249 S Schuyler Ave Ste 300, Kankakee, IL 60901-3911 | 2015-02-17 |
| 1518114040 | The Thresholds | Community/Behavioral Health | 800 W Harbor St, Kankakee, IL 60901-2945 | 2008-08-27 |
| 1881841310 | The Thresholds | Community/Behavioral Health | 202 N Schuyler Ave Ste 205, Kankakee, IL 60901-3601 | 2008-08-27 |
| 1548417827 | The Thresholds | Community/Behavioral Health | 603 S Poplar Ave, Kankakee, IL 60901-5547 | 2008-08-19 |
| 1912053950 | The Helen Wheeler Center for Community Mental Health | Community/Behavioral Health | 202 N Schuyler Ave Ste 101, Kankakee, IL 60901-3626 | 2007-01-25 |
| Find all providers in KANKAKEE | ||||
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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.