AUNT MARTHA'S HEALTH AND WELLNESS, INC. (NPI# 1609917863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609917863 |
Entity Type | Organization |
Organization Name | AUNT MARTHA'S HEALTH AND WELLNESS, INC. |
Other Organization Name | AUNT MARTHA'S CENTER FOR CHILDREN'S SERVICES |
Practice Address |
702 N Logan Ave Danville IL 61832-4323 |
Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
Practice Telephone | 2174461300 |
Practice Fax Number | 7087477907 |
Mailing Telephone | 8776928686 |
Mailing Fax Number | 7087470710 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2019-01-09 |
Authorized Official Name | MARY M. MARTIN (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 7088255976 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Aunt Martha's Center for Children's Services | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053836395 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 |
1356987184 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615 | 2019-11-27 |
1164949574 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-25 |
1538209077 | Aunt Martha's Health and Wellness, Inc. | Clinic/Center | 3003 Wakefield Dr, Carpentersville, IL 60110-2422 | 2007-02-07 |
Street Address |
702 N LOGAN AVE |
City | DANVILLE |
State | IL |
Zip Code | 61832-4323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598031833 | Joann Wilson | Social Worker | 702 N Logan Ave, Danville, IL 61832-4323 | 2012-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
Find all providers in zip 61832 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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1316386477 | Lutheran Social Services of Il | Clinic/Center | 605 N Logan Ave, Danville, IL 61832-4371 | 2013-06-21 |
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1114431418 | Rosecrance, Inc. | Clinic/Center | 1222 E Voorhees St, Danville, IL 61834-6249 | 2017-11-22 |
1356626527 | Counseling and Psychological Services,llc | Clinic/Center | 1045 Main St, Suite 5, Danville, VA 24541-1800 | 2011-10-19 |
1073613311 | Associates In Mental Health Services, P.C. | Clinic/Center | 108 Holbrook St, Suite 203, Danville, VA 24541-1758 | 2006-09-25 |
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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.