MEDICAL SERVICE AND SUPPORT LLC MBFS (NPI# 1851454664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851454664 |
| Entity Type | Organization |
| Organization Name | MEDICAL SERVICE AND SUPPORT LLC MBFS |
| Practice Address |
500 Linden Avenue Oak Park IL 60302-1659 |
| Mailing Address |
500 Linden Ave Oak Park IL 60302-1659 |
| Practice Telephone | 7737466050 |
| Mailing Telephone | 7737466050 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RENGARAJU GANESAN (MD) |
| Authorized Official Telephone | 7737466050 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251X00000X | Supports Brokerage | 01883194 | IL | Agencies |
| Street Address |
500 LINDEN AVENUE |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 251X00000X |
| Grouping | Agencies |
| Classification | Supports Brokerage |
| A provider of service/function that assists participating individuals to make informed decisions about what will work best for them is consistent with their needs and reflects their individual circumstances. Serving as the agent of the individual, the service is available to assist in identifying immediate and long-term needs, developing options to meet those needs and accessing identified supports and services and may include assistance with recruiting, screening, hiring, and training in-home support providers. A family or person-centered planning approach is used. Supports Brokerage offers practical skills training to enable families and individuals to remain independent. Examples of skills training include providing information on recruiting and hiring personal care workers, managing personal care workers and providing information on effective communication and problem solving. The service/function provides sufficient information to assure that individuals understand the responsibilities involved with self-direction and assist in the development of an effective back-up and emergency plan. Plans may elect to fulfill the requirement of this service/function using a self-directed case manager or creating a distinct service. The Supports Brokerage documents the need for assistive services, planning for and documenting the use of excess funds and locating and maintaining services. |
| Notes: Source: CMS Independence Plus Waiver template. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134502891 | All American Midwest Insurance Brokers, Inc. | Supports Brokerage | 1133 N. Dearborn St., Suite 2204, Chicago, IL 60610 | 2015-06-30 |
| 1184051013 | Global Financial Planning | Supports Brokerage | 11701 S Longwood Dr, Chicago, IL 60643-4831 | 2013-10-09 |
| 1821423252 | Shore-murphy and Associates, LLC | Supports Brokerage | 602 Archer Ave, Marshall, IL 62441-1268 | 2013-09-04 |
| 1396037578 | Tasc, Inc | Supports Brokerage | 1500 N Halsted St, Chicago, IL 60642-2517 | 2011-05-06 |
| 1326219643 | Options & Advocacy for Mchenry County | Supports Brokerage | 365 Millennium Dr Ste A, Crystal Lake, IL 60012-3747 | 2008-03-14 |
| 1760939623 | The Moodo Insurance Group | Supports Brokerage | 332 S Michigan Ave, Ste 1032, Chicago, IL 60604-4434 | 2016-09-07 |
| 1881054757 | Statewide Agency | Supports Brokerage | 1920 Waukegan Rd, Suite 5, Glenview, IL 60025-1717 | 2016-03-04 |
| 1265737787 | Physicians Laboratory, LLC | Supports Brokerage | 1410 W Fulton St, Suite 204, Chicago, IL 60607-1110 | 2011-01-13 |
| 1982870689 | Options & Advocacy | Supports Brokerage | 365 Millennium Dr Ste A, Crystal Lake, IL 60012-3747 | 2008-05-02 |
| 1417128737 | Options & Advocacy for Mchenry County | Supports Brokerage | 365 Millennium Dr Ste A, Crystal Lake, IL 60012-3747 | 2008-03-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDICAL SERVICE AND SUPPORT LLC MBFS.
| 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.