PHILOMENA ODIASE (NPI# 1790161701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790161701 |
Entity Type | Individual |
Full Name | PHILOMENA ODIASE |
Practice Address |
441 S Dante Ave Glenwood IL 60425-2045 |
Practice Telephone | 7089150920 |
Practice Fax Number | 7089600023 |
Mailing Telephone | 7089150920 |
Mailing Fax Number | 7089600023 |
Enumeration Date | 2015-08-03 |
Last Update Date | 2015-08-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
441 S DANTE AVE |
City | GLENWOOD |
State | IL |
Zip Code | 60425-2045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780135194 | Genesis Cila Homes Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 441 S Dante Ave, Glenwood, IL 60425-2045 | 2016-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902428147 | Aperion Care Glenwood LLC | Skilled Nursing Facility | 19330 South College Grove, Glenwood, IL 60425 | 2020-05-11 |
1073135224 | Aperion Care Glenwood LLC | Durable Medical Equipment & Medical Supplies | 19330 South College Grove Ave, Glenwood, IL 60425 | 2020-05-11 |
1750757159 | Guameda Eady | Nurse Practitioner | 19310 S Halsted, Jencare Neighborhood Medical Center Glenwood, LLC, Glenwood, IL 60425 | 2015-08-19 |
1992704217 | Michelle Meeks | Family Medicine | 19310 S Halsted St, Glenwood, IL 60425 | 2005-07-19 |
1285885889 | Ck Transportation Inc | Non-emergency Medical Transport (VAN) | 18451 S Halsted St Ste 4, Glenwood, IL 60425-1009 | 2008-10-01 |
1265663157 | Basit G. Nisbeth | Dentist | 18430 S Halsted St, Glenwood, IL 60425-1013 | 2009-07-27 |
1285180554 | Bmc Family Dentistry LLC | Clinic/Center | 18430 S Halsted St, Suite 201, Glenwood, IL 60425-1013 | 2016-08-28 |
1013225788 | Advocate Home Health Care and Wellness Council, Inc. | Home Health | 18430 S Halsted St, 202, Glenwood, IL 60425-1013 | 2010-09-16 |
1588939003 | Dabrene P Goree | Social Worker | 1122 W Iowa St, Glenwood, IL 60425-1025 | 2012-03-16 |
1013078237 | Rochelle L Turner | Massage Therapist | 1050 W Ohio St, Glenwood, IL 60425-1031 | 2006-12-12 |
Find all providers in zip 60425 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497319214 | Pathways Real Life Recovery | Community/Behavioral Health | 189 E Center St, Glenwood, UT 84730-7783 | 2019-04-26 |
1508319666 | Self | Community/Behavioral Health | 117 Valley St, Glenwood, IA 51534-1024 | 2016-07-25 |
1982115390 | Charline Bengtson LLC | Community/Behavioral Health | 105 2nd Ave Ne Ste 110, Glenwood, MN 56334-1226 | 2017-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820648 | Community Wellness Group | Community/Behavioral Health | 635 Argyle Ave, Flossmoor, IL 60422-1201 | 2020-10-26 |
1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
1790383610 | Joni Lamb Therapy, LLC | Community/Behavioral Health | 1555 Sherman Ave # 308, Evanston, IL 60201-4421 | 2020-10-13 |
1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
1942817150 | Pacem Wellness, LLC | Community/Behavioral Health | 8 Eagle Ctr Ste 12, O Fallon, IL 62269-1947 | 2020-09-30 |
1831703271 | Boules Clinical Psychology Group | Community/Behavioral Health | 200 S Frontage Rd Ste 324, Burr Ridge, IL 60527-6953 | 2020-09-02 |
1336753896 | Counseling Kennedy Shenberg | Community/Behavioral Health | 5752 N Campbell Ave Apt 1, Chicago, IL 60659-5080 | 2020-09-02 |
1265045371 | Brightside Recovery | Community/Behavioral Health | 1667 Belvidere Rd, Belvidere, IL 61008-9306 | 2020-08-28 |
1902419021 | Brightside Recovery | Community/Behavioral Health | 8041 186th St Ste B, Tinley Park, IL 60487-9344 | 2020-08-28 |
1700498573 | Bobby E. Wright Comprehensive Behavioral Health Center, Inc. | Community/Behavioral Health | 5816 W Division St Fl 1, Chicago, IL 60651-1003 | 2020-08-21 |
Find all providers with the same taxonomy |
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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.