WEBSTER-CANTRELL HALL


Address: 1942 E Cantrell St, Decatur, IL 62521-3214
Phone: 2174236961

WEBSTER-CANTRELL HALL (NPI# 1689633828) 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) 1689633828
Entity Type Organization
Organization Name WEBSTER-CANTRELL HALL
Practice Address 1942 E Cantrell St
Decatur
IL 62521-3214
Practice Telephone 2174236961
Practice Fax Number 2174216889
Mailing Telephone 2174236961
Mailing Fax Number 2174216889
Enumeration Date 2006-03-17
Last Update Date 2016-03-24
Authorized Official Name MR. MARTIN S HARRIS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 2174236961
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children 021746-10 IL Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114275435 Webster-cantrell Hall Residential Treatment Facility, Emotionally Disturbed Children 1220 Underwood Ct, Decatur, IL 62526-1983 2012-08-16
1518238955 Webster-cantrell Hall Residential Treatment Facility, Emotionally Disturbed Children 2749 N Norwood Ave, Decatur, IL 62526-1517 2012-01-17

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities WEBSTER-CANTRELL HALL 1942 E Cantrell St, Decatur, IL 62521-3214

Office Location

Street Address 1942 E CANTRELL ST
City DECATUR
State IL
Zip Code 62521-3214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841830429 Webster Cantrell Youth Advocacy Social Worker 1942 E Cantrell St, Decatur, IL 62521-3214 2020-01-10
1366954489 Denise Beeching Counselor 1942 E Cantrell St, Decatur, IL 62521-3214 2017-10-30
1699214379 Monique Smith Social Worker 1942 E Cantrell St, Decatur, IL 62521-3214 2017-02-15
1427594357 Brian Pinkston Counselor 1942 E Cantrell St, Decatur, IL 62521-3214 2017-01-17
1780128934 Kenneth Dayton Krueger Counselor 1942 E Cantrell St, Decatur, IL 62521-3214 2016-12-07
1528421203 Peter Hopkins Counselor 1942 E Cantrell St, Decatur, IL 62521-3214 2016-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1154848034 Zack Shaw Physical Therapist 4855-57 East 36, Decatur, IL 62521 2017-08-23
1790032852 Prashant Morolia Family Medicine 4775 E Maryland St, Decatur, IL 62521 2012-08-08
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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 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114275435 Webster-cantrell Hall Residential Treatment Facility, Emotionally Disturbed Children 1220 Underwood Ct, Decatur, IL 62526-1983 2012-08-16
1518238955 Webster-cantrell Hall Residential Treatment Facility, Emotionally Disturbed Children 2749 N Norwood Ave, Decatur, IL 62526-1517 2012-01-17
1619403219 Mister Life Coach Residential Treatment Facility, Emotionally Disturbed Children 3681 N Decatur Rd Apt R11, Decatur, GA 30032-1062 2017-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1538635198 Center for Comprehensive Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 901 S Busse Rd, Mt Prospect, IL 60056-4006 2018-10-22
1851866867 Sonia Shankman Orthogenic School Residential Treatment Facility, Emotionally Disturbed Children Sonia Shankman Orthogenic School, 6245 South Ingleside Ave, Chicago, IL 60637-2621 2018-10-05
1982188637 Nexus Family Healing Residential Treatment Facility, Emotionally Disturbed Children 109 North Poplar Street, Onarga, IL 60955 2018-09-19
1326532888 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 1303 N. Cunningham Avenue, Urbana, IL 61821 2018-06-19
1760924732 The Center for Youth and Family Solutions Residential Treatment Facility, Emotionally Disturbed Children 260 E. Queenwood Rd., Cyfs Educational Building, Morton, IL 61550 2016-11-08
1881058329 The Center for Youth and Family Solutions Residential Treatment Facility, Emotionally Disturbed Children 260 E Queenwood Rd, Morton, IL 61550-9726 2016-04-11
1942621768 Arrowhead Ranch Inc. Residential Treatment Facility, Emotionally Disturbed Children 12228 104th St, Coal Valley, IL 61240-9712 2013-12-20
1588004667 Nexus Family Healing Residential Treatment Facility, Emotionally Disturbed Children 175 Evergreen, Manteno, IL 60950 2013-07-03
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Competitor

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City DECATUR
Zip Code 62521

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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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