Children'S Home Association Of Illinois

LBN: Children'S Home Association Of Illinois
Children'S Home Association Of Illinois is an health care organization with primary practice located at 7225 W Plank Rd , Peoria IL 61604-5252. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Children'S Home Association Of Illinois can be contacted via phone (309) 685-1047, or through Miller, Aaron via phone (309) 687-7241.

Contact Information

Primary practice address
7225 W Plank Rd Peoria IL 61604-5252
Phone: (309) 685-1047
Fax: (309) 687-6615
Website:
Map and Directions
Authorized official contact:
Name: Miller, Aaron
Phone: (309) 687-7241

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 2B05-IPI-130 Illinois

Profile Details

NPI number 1639666928
LBN Legal business name Children'S Home Association Of Illinois
DBA Doing business as
Authorized official Miller, Aaron
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2018
Last updated Apr 23rd, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639666928 NPPES
Illinois MEDICAID 2B05-IPI-130

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