Human Service Center
LBN: Human Service Center
Human Service Center is an health care organization with primary practice located at 130 N Richard Pryor Pl , Peoria IL 61605-2484. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Human Service Center can be contacted via phone (309) 671-8005, or through Kennedy, Michael via phone (309) 671-8005.
Contact Information
Primary practice address
130 N Richard Pryor Pl
Peoria IL 61605-2484
Phone: (309) 671-8005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | A-0324-0001-A | Illinois |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 003240001 | Illinois |
Profile Details
| NPI number | 1770960684 |
|---|---|
| LBN Legal business name | Human Service Center |
| DBA Doing business as | |
| Authorized official | Kennedy, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 29th, 2015 |
| Last updated | Dec 12th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770960684 | NPPES |
| Illinois | MEDICAID | 003240001 |
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