CASS COUNTY MENTAL HEALTH ASSOC (NPI# 1720613748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720613748 |
Entity Type | Organization |
Organization Name | CASS COUNTY MENTAL HEALTH ASSOC |
Practice Address |
121 E 2nd St Beardstown IL 62618-1263 |
Practice Telephone | 2173232980 |
Practice Fax Number | 2173233731 |
Mailing Telephone | 2173232980 |
Mailing Fax Number | 2173233731 |
Enumeration Date | 2020-03-10 |
Last Update Date | 2020-03-10 |
Authorized Official Name | AMANDA BECHARD (BILLING AND CLAIMS SPECIALIST) |
Authorized Official Telephone | 2173232980 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
Other Name | Type Code |
---|---|
Community Hope and Recovery Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942316179 | Cass County Mental Health Assoc | Clinic/Center | 121 E 2nd Street, Beardstown, IL 62618 | 2006-08-21 |
1326674995 | Cass County Mental Health Assoc | Clinic/Center | 60 E Central Park Plz, Jacksonville, IL 62650-2071 | 2020-03-16 |
1487053443 | Cass County Mental Health Assoc | Community/Behavioral Health | 121 E 2nd St, Beardstown, IL 62618-1263 | 2014-08-15 |
1578831772 | Cass County Mental Health Assoc | Case Management | 121 E 2nd St, Beardstown, IL 62618-1263 | 2011-12-02 |
1942578141 | Cass County Mental Health Assoc | Case Management | 121 E 2nd St, Beardstown, IL 62618-1263 | 2011-12-02 |
Street Address |
121 E 2ND ST |
City | BEARDSTOWN |
State | IL |
Zip Code | 62618-1263 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013539303 | Cynthia J Elliott | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2020-05-11 |
1841812138 | Garrick M Adams | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2020-05-11 |
1104457597 | Emilie Catherine Lindquist | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2020-02-04 |
1700437837 | Stevie N Joachim | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2019-09-20 |
1346899622 | Skylar Savannah Moore | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2019-09-09 |
1548819824 | Lyndsey Nicole Utter | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2019-09-09 |
1972152254 | Megan Marie Stocker | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2019-09-09 |
1447818323 | Darrian Marie Gregory | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2019-06-05 |
1073076873 | Danielle Renee Suhre | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2019-04-09 |
1558822361 | Tobi Brackett | Counselor | 121 E 2nd St, Beardstown, IL 62618-1263 | 2019-03-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962646042 | Cass County Mental Health | Clinic/Center | 7 Bridgeview, Beardstown, IL 62618 | 2009-04-21 |
1750562195 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 113 West 3rd St, Beardstown, IL 62618 | 2007-11-14 |
1316162993 | John Gauer Merrihew Dmd Ltd | Dentist | 1020 State St, Beardstown, IL 62618 | 2007-04-17 |
1942316179 | Cass County Mental Health Assoc | Clinic/Center | 121 E 2nd Street, Beardstown, IL 62618 | 2006-08-21 |
1619922143 | Sembu Kanthilal | Family Medicine | 507 Washington St, Beardstown, IL 62618 | 2006-05-23 |
1538111638 | Schuyler County Hospital District | Clinic/Center | 8460 St Lukes Dr, Beardstown, IL 62618 | 2006-05-17 |
1326282401 | Cass County Mental Health | Clinic/Center | 415 Clendenin St, Beardstown, IL 62618 | 2009-04-21 |
1801932728 | Diane M Morris | Counselor | 415 Clendenin St, Beardstown, IL 62618-1034 | 2007-01-29 |
1679002125 | Michala Nicole Swanger | Counselor | 415 Clendenin St, Beardstown, IL 62618-1034 | 2017-06-08 |
1063708857 | Parkview Housing Corporation | Community/Behavioral Health | 415 Clendenin St, Beardstown, IL 62618-1034 | 2011-06-21 |
Find all providers in zip 62618 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962954099 | State of Illinois Department of Human Services | Custodial Care Facility | 10724 S Indiana Ave, Chicago, IL 60628-3615 | 2016-10-24 |
1215302583 | Epilepsy Foundation of Greater Southern Illinois | Custodial Care Facility | 3515 N Belt W, Belleville, IL 62226-5944 | 2015-12-11 |
1316334907 | Dean Homecare LLC | Custodial Care Facility | 6604 N Ashland Ave, 3 J, Chicago, IL 60626-4151 | 2015-04-21 |
1881015329 | St Clair Supportive Living Lp | Custodial Care Facility | 921 Knollwood Village Rd, Caseyville, IL 62232-1808 | 2013-12-31 |
1700100971 | Good Shepherd Manor, Inc | Custodial Care Facility | 4129 N State Routes 1 & 17, Momence, IL 60954-0260 | 2010-03-17 |
1386895381 | Rickcare, LLC | Custodial Care Facility | 2490 County Road 550 E, Dewey, IL 61840-9725 | 2008-10-08 |
1689844912 | Parents and Friends of The Community Integration Services | Custodial Care Facility | 212 S. 32nd St, Belleville, IL 62226 | 2008-03-03 |
1568630390 | Halsted Shelter Care | Custodial Care Facility | 16044 Halsted St, Harvey, IL 60426-5201 | 2008-02-14 |
1326110594 | Jjr Enterprises Inc | Custodial Care Facility | 2025 Broadway St Ste B, Mount Vernon, IL 62864-2935 | 2006-11-14 |
1003805672 | Westmont Convalescent Center | Custodial Care Facility | 6501 S Cass Ave, Westmont, IL 60559-3200 | 2005-10-17 |
Find all providers with the same taxonomy |
City | BEARDSTOWN |
Zip Code | 62618 |
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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.