CUNNINGHAM CHILDREN'S HOME OF URBANA IL


Address: 1301 N Cunningham Ave, Urbana, IL 61802-1830
Phone: 2173673728

CUNNINGHAM CHILDREN'S HOME OF URBANA IL (NPI# 1831683382) 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) 1831683382
Entity Type Organization
Organization Name CUNNINGHAM CHILDREN'S HOME OF URBANA IL
Other Organization Name GOODMAN (BUILDING/PROGRAM)
Practice Address 1301 N Cunningham Ave
Urbana
IL 61802-1830
Practice Telephone 2173673728
Practice Fax Number 2173672896
Mailing Telephone 2173673728
Mailing Fax Number 2173672896
Enumeration Date 2018-06-19
Last Update Date 2018-06-19
Authorized Official Name SHAWN SUZETTE PETERSON (DIRECTOR OF QUALITY IMPROVEMENT)
Authorized Official Telephone 2173673728
Is Organization Subpart N

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
Goodman (Building/Program) Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326532888 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 1303 N. Cunningham Avenue, Urbana, IL 61821 2018-06-19
1487955464 Cunningham Children's Home of Urbana Il Voluntary or Charitable 1705 Georgetown Dr, Champaign, IL 61821-5519 2010-11-08
1144534579 Cunningham Children's Home of Urbana Il Voluntary or Charitable 1303 N Cunningham Ave, Urbana, IL 61802-1830 2010-07-27
1821055658 Cunningham Children's Home of Urbana Il Voluntary or Charitable 1301 N Cunningham Ave, Urbana, IL 61802-1830 2006-04-26
1740774298 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 1301 N Cunningham Ave, Urbana, IL 61802-1830 2018-06-19
1487148938 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 208 E Washington St, Urbana, IL 61801-4227 2018-06-19
1871047209 Cunningham Children's Home of Urbana Il Clinic/Center 701 Devonshire Dr, Champaign, IL 61820-7337 2016-08-15
1972816262 Cunningham Children's Home of Urbana Il Voluntary or Charitable 208 E Washington St, Urbana, IL 61801-4227 2010-07-15

Office Location

Street Address 1301 N CUNNINGHAM AVE
City URBANA
State IL
Zip Code 61802-1830

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821055658 Cunningham Children's Home of Urbana Il Voluntary or Charitable 1301 N Cunningham Ave, Urbana, IL 61802-1830 2006-04-26
1740774298 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 1301 N Cunningham Ave, Urbana, IL 61802-1830 2018-06-19
1427400068 Patricia Ege Social Worker 1301 N Cunningham Ave, Urbana, IL 61802-1830 2016-07-07
1316320088 Dawn M. Cluver Social Worker 1301 N Cunningham Ave, Urbana, IL 61802-1830 2015-06-30
1982086864 Carrie Ann Winkler Social Worker 1301 N Cunningham Ave, Urbana, IL 61802-1830 2015-06-26
1598156424 Taj Y. Artis Social Worker 1301 N Cunningham Ave, Urbana, IL 61802-1830 2015-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932756186 Guadalupe Guzman Technician 3205 E Airport Rd, Urbana, IL 61802 2019-08-22
1306303714 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 520 N Cunningham Avenue, 5 Points Shopping Center, Urbana, IL 61802 2019-02-22
1447769591 Joe Mata Non-emergency Medical Transport (VAN) 606 Oakland Ave Apt 212, Urbana, IL 61802 2017-09-20
1326423153 Allison Donald Occupational Therapy Assistant 500 Bartell Rd., Urbana, IL 61802 2015-07-22
1083013874 Erin E Gianaras Pharmacist 2500 S Philo Rd, Urbana, IL 61802 2014-08-18
1881962744 Nataly Briceno Guerrero Occupational Therapist 805 S Sunny Lane, Urbana, IL 61802 2011-12-07
1184917643 Melody Meyer Physical Therapy Assistant 1704 E Amber Glenn Road, Urbana, IL 61802 2011-05-17
1265736110 Blueprint Social Worker 2704 Boulder Drive, Suite B, Urbana, IL 61802 2011-01-07
1497989040 Jennifer Renee Davis Rehabilitation Counselor 1513 County Rd 2300 North, Urbana, IL 61802 2009-05-12
1356543060 Shan Brown Nurse Practitioner 2158 C.r. 1900 E., Urbana, IL 61802 2007-06-04
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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
1326532888 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 1303 N. Cunningham Avenue, Urbana, IL 61821 2018-06-19
1740774298 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 1301 N Cunningham Ave, Urbana, IL 61802-1830 2018-06-19
1487148938 Cunningham Children's Home of Urbana Il Residential Treatment Facility, Emotionally Disturbed Children 208 E Washington St, Urbana, IL 61801-4227 2018-06-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801363551 Kemmerer Village Inc. Residential Treatment Facility, Emotionally Disturbed Children 941 N. 2500 East Road, Assumption, IL 62510 2018-10-31
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
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
1649610841 Nexus Family Healing Residential Treatment Facility, Emotionally Disturbed Children 325 Hemlock, Manteno, IL 60950 2013-07-02
1811337280 Nexus Family Healing Residential Treatment Facility, Emotionally Disturbed Children 215 Hemlock, Manteno, IL 60950 2013-07-01
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Competitor

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City URBANA
Zip Code 61802

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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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