BIANCA DAVIS (NPI# 1588039556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588039556 |
| Entity Type | Individual |
| Full Name | BIANCA DAVIS |
| Credential | LPN |
| Practice Address |
18610 Morris Ave Homewood IL 60430-3628 |
| Practice Telephone | 7088602143 |
| Mailing Telephone | 7088602143 |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 043.110334 | IL | Residential Treatment Facilities |
| Street Address |
18610 MORRIS AVE |
| City | HOMEWOOD |
| State | IL |
| Zip Code | 60430-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1619431020 | Jewish Child and Family Services | Clinic/Center | 1800 Ridge Road, Unit 204, Suite 4, Homewood, IL 60430 | 2019-01-30 |
| 1437636966 | Miracle Healthcare LLC | Clinic/Center | 2024 Hickory Rd Ste 306, Homewood, IL 60430 | 2018-07-26 |
| 1518443381 | Elizabeth Carol Rodgers | Developmental Therapist | 2820 Willow Rd, Homewood, IL 60430 | 2018-07-16 |
| 1114431764 | Kyla Shaneek O'neal | Counselor | 935 175th St Ste 300, Homewood, IL 60430 | 2017-11-17 |
| 1699221986 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 17723 S Halsted St, Homewood, IL 60430 | 2016-08-28 |
| 1528420155 | Nathan Patrick Lagacy | Counselor | 3650 W. 183rd St., Homewood, IL 60430 | 2016-03-23 |
| 1891175725 | Quaneta Gates | Homeopath | 18216 Harwood Ave Unit 1 S, Homewood, IL 60430 | 2015-06-05 |
| 1164817334 | Shachi Pandya | Family Medicine | 18350 Kedzie Ave Ste 101, Homewood, IL 60430 | 2015-04-03 |
| 1790182327 | Floss Dental Care LLC | Preferred Provider Organization | 18650 Dixie Highway, Homewood, IL 60430 | 2014-11-25 |
| Find all providers in zip 60430 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841850476 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 1400 E Touhy Ave # 300a, Des Plaines, IL 60018-3305 | 2019-06-17 |
| 1831759653 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 1400 E Touhy Ave # 300b, Des Plaines, IL 60018-3305 | 2019-06-14 |
| 1437649266 | Eating Recovery Center | Psychiatric Residential Treatment Facility | 1 E Erie St Ste 400, Chicago, IL 60611-2785 | 2018-05-17 |
| 1992110217 | Insight Behavioral Health Centers | Psychiatric Residential Treatment Facility | 200 E Ohio St, B, Chicago, IL 60611-7269 | 2014-06-25 |
| 1639466915 | Bhc Streamwood Hospital Inc | Psychiatric Residential Treatment Facility | 1360 E Irving Park Rd, Streamwood, IL 60107-3202 | 2011-07-07 |
| 1164751913 | Gpr Solutions Sc | Psychiatric Residential Treatment Facility | 554 Bovidae Cir, Naperville, IL 60565-6184 | 2009-12-08 |
| 1932330446 | Jubilee Health Inc | Psychiatric Residential Treatment Facility | 1016 Victoria Ln, Glendale Heights, IL 60139-4508 | 2009-07-31 |
| 1144427378 | Colin M Hayes | Psychiatric Residential Treatment Facility | 555 Fairview Dr, Office, Rochelle, IL 61068-2310 | 2007-06-29 |
| 1306873419 | Maryville Academy | Psychiatric Residential Treatment Facility | 555 Wilson Lane, Maryville Scott Nolan Center, Des Plaines, IL 60016-4729 | 2006-06-26 |
| 1972559383 | Children's Home & Aid Society of America | Psychiatric Residential Treatment Facility | 1101 Washington St, Evanston, IL 60202-1619 | 2006-05-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BIANCA DAVIS.
| 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.