Southstar Services

LBN: Sertoma Star Services, Inc.
Southstar Services is an health care organization with primary practice located at 1005 W End Ave , Chicago Heights IL 60411-2742. The organization recently has 5 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Sertoma Star Services, Inc. can be contacted via phone (708) 755-8030, or through Van Den Brink, Gus via phone (708) 730-6216.

Contact Information

Primary practice address
1005 W End Ave Chicago Heights IL 60411-2742
Phone: (708) 755-8030
Fax: (708) 755-8047
Website:
Map and Directions
Authorized official contact:
Name: Van Den Brink, Gus
Phone: (708) 730-6216

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 946232 Illinois
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 946232 Illinois
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1053503094
LBN Legal business name Sertoma Star Services, Inc.
DBA Doing business as Southstar Services
Authorized official Van Den Brink, Gus
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2007
Last updated Feb 12th, 2024 - about last year

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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