SOUTH SUBURBAN SENIOR SOCIALITES, INC (NPI# 1740421296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740421296 |
| Entity Type | Organization |
| Organization Name | SOUTH SUBURBAN SENIOR SOCIALITES, INC |
| Practice Address |
17303 Hawthorne Dr Hazel Crest IL 60429-1838 |
| Practice Telephone | 7084668853 |
| Mailing Telephone | 7084668853 |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |
| Authorized Official Name | MRS. MARLAYNA ANTIONETTE WARREN (PRESIDENT) |
| Authorized Official Telephone | 7084668853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
17303 HAWTHORNE DR |
| City | HAZEL CREST |
| State | IL |
| Zip Code | 60429-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917987 | Nancy Sinwelski | Technician | 17305 Fisk Street, East Hazelcrest, IL 60429 | 2019-11-21 |
| 1144720871 | Plentiful Hair Studio LLC | Specialist | 17504 E Carriageway Dr Ste D, Hazel Crest, IL 60429 | 2018-02-19 |
| 1376052142 | Natalie Allen | Counselor | 3518 Birchwood Dr, Hazel Crest, IL 60429 | 2017-09-25 |
| 1730534009 | Lydena Franklin | Counselor | 1909 Cheker Square, East Hazel Crest, IL 60429 | 2016-04-25 |
| 1710331053 | Lauiren Orta | Counselor | 1901 Cheker Square, E Hazel Crest, IL 60429 | 2016-04-22 |
| 1427423367 | Andrea Leigh Warren | Nurse Practitioner | 17800 S. Kedzie Ave, Hazel Crest, IL 60429 | 2015-12-03 |
| 1770969354 | Karriem's Developmental Services | Day Training, Developmentally Disabled Services | 18513 River Road, Hazel Crest, IL 60429 | 2015-08-05 |
| 1073905170 | James Kamper | Physical Therapy Assistant | 1816 W 170th Street, Hazel Crest, IL 60429 | 2015-02-26 |
| 1194066019 | Marilyn C Scott | Psychologist | 18505 Meadow Ln., Hazel Crest, IL 60429 | 2013-03-04 |
| 1649548405 | Supported Independence | Community/Behavioral Health | 17009 Elm Drive, Hazel Crest, IL 60429 | 2011-12-08 |
| Find all providers in zip 60429 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871929042 | Management Services Team Inc. | Psychologist | 18225 Fountainbleau Dr, Hazel Crest, IL 60429-2231 | 2013-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783630 | Charlene Sanuade | Psychologist | 29 S Webster St Ste 390a, Naperville, IL 60540-5356 | 2019-07-25 |
| 1487127668 | Robert Petite | Psychologist | 4717 S Greenwood Ave, Chicago, IL 60615-1933 | 2019-01-09 |
| 1649565060 | Joseph (joe) Robert Seldess | Psychologist | 1014 Brummel, Evanston, IL 60202-3874 | 2011-06-14 |
| 1275798308 | Options Medical Services Inc. | Psychologist | 4444 S Michigan Ave, Chicago, IL 60653-3117 | 2008-07-29 |
| 1831362227 | Greater Chicago Group Psychotherapy, Inc. | Psychologist | 54 Falcon Place, Westmont, IL 60559 | 2008-04-08 |
| 1710162862 | Wise Behavioral Health Services Ltd | Psychologist | 9012 S Crandon Ave, Chicago, IL 60617-3807 | 2008-01-08 |
| 1942485198 | Pathways Psychology Services P.C. | Psychologist | 28w671 Garys Mill Road, Winfield, IL 60190 | 2008-01-07 |
| 1083894679 | Helping Hands Care Services | Psychologist | 1101 S Austin Blvd, Chicago, IL 60644-5318 | 2007-11-12 |
| 1982803219 | Institute for Behavioral Health | Psychologist | 4250 N Marine Dr Apt 1521, Chicago, IL 60613-1714 | 2007-07-17 |
| 1982808655 | Acorn Rehab Services Ltd | Psychologist | 4639 W Washington Blvd, Chicago, IL 60644-3618 | 2007-06-14 |
| Find all providers with the same taxonomy | ||||
| City | HAZEL CREST |
| Zip Code | 60429 |
Please comment or provide details below to improve the information on SOUTH SUBURBAN SENIOR SOCIALITES, INC.
| 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.