Human Support Services

LBN: Human Support Services
Human Support Services is an health care organization with primary practice located at 228 Bradford Ln Ste 2 , Waterloo IL 62298-3270. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Human Support Services can be contacted via phone (618) 939-4444, or through Jones, Melissa via phone (618) 939-4444.

Contact Information

Primary practice address
228 Bradford Ln Ste 2 Waterloo IL 62298-3270
Phone: (618) 939-4444
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jones, Melissa
Phone: (618) 939-4444

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1801447982
LBN Legal business name Human Support Services
DBA Doing business as
Authorized official Jones, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2019
Last updated Sep 20th, 2019 - about 5 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 1801447982 NPPES
Illinois MEDICAID PENDING

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