Aunt Marthas Youth Service Center

LBN: Aunt Marthas Youth Service Center
Aunt Marthas Youth Service Center is an health care organization with primary practice located at 19990 Governors Hwy , Olympia Fields IL 60461-1021. The organization recently has 5 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Nursing Care, Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Aunt Marthas Youth Service Center can be contacted via phone (708) 747-7100, or through Nordloh, Christopher J via phone (708) 747-7100.

Contact Information

Primary practice address
19990 Governors Hwy Olympia Fields IL 60461-1021
Phone: (708) 747-7100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nordloh, Christopher J
Phone: (708) 747-7100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Illinois
Agencies / Day Training, Developmentally Disabled Services 251C00000X Illinois
Agencies / Nursing Care 251J00000X Illinois
Agencies / Public Health or Welfare 251K00000X Illinois
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1225080922
LBN Legal business name Aunt Marthas Youth Service Center
DBA Doing business as
Authorized official Nordloh, Christopher J
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2006
Last updated Dec 2nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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