Childrens Home And Aid

LBN: Childrens Home And Aid Society Of Illinois
Childrens Home And Aid is an health care organization with primary practice located at 403 S State St , Bloomington IL 61701-5556. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Childrens Home And Aid Society Of Illinois can be contacted via phone (309) 834-5277, or through Shaver, Mike via phone (312) 424-6801.

Contact Information

Primary practice address
403 S State St Bloomington IL 61701-5556
Phone: (309) 834-5277
Fax: (309) 828-0745
Website:
Map and Directions
Authorized official contact:
Name: Shaver, Mike
Phone: (312) 424-6801

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X 004236 Illinois

Profile Details

NPI number 1417198920
LBN Legal business name Childrens Home And Aid Society Of Illinois
DBA Doing business as Childrens Home And Aid
Authorized official Shaver, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2009
Last updated Jul 1st, 2022 - about 4 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 1417198920 NPPES
Illinois MEDICAID 004236

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