Human Service Center

LBN: Human Service Center
Human Service Center is an health care organization with primary practice located at 405 Ne Perry Ave , Peoria IL 61603-3629. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Human Service Center can be contacted via phone (309) 671-8005, or through Nirde, Fred via phone (309) 671-8000.

Contact Information

Primary practice address
405 Ne Perry Ave Peoria IL 61603-3629
Phone: (309) 671-8005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nirde, Fred
Phone: (309) 671-8000

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1841504222
LBN Legal business name Human Service Center
DBA Doing business as
Authorized official Nirde, Fred
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2010
Last updated Jul 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841504222 NPPES
Illinois MEDICAID 041

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