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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
Other Name | Type Code |
---|---|
Goodman (Building/Program) | Other Name - Individual/Organization |
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 |
Street Address |
1301 N CUNNINGHAM AVE |
City | URBANA |
State | IL |
Zip Code | 61802-1830 |
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 |
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 |
Find all providers in zip 61802 |
Taxonomy Code | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
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. |
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 |
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 |
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.