CHILDREN'S HOME ASSOCIATION OF ILLINOIS NPI 1154848216

NPI Information

NPI: 1154848216
Provider Name: CHILDREN'S HOME ASSOCIATION OF ILLINOIS
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 14D2220663

Address:
7225 W PLANK RD
PEORIA, IL
ZIP 61604
Phone: (309) 687-7241
Get Directions

CHILDREN'S HOME ASSOCIATION OF ILLINOIS is a rehabilitation and substance use disorder clinic center in Peoria, IL. CHILDREN'S HOME ASSOCIATION OF ILLINOIS NPI is 1154848216. The provider is registered as an organization entity type.

The provider's business location address is:

7225 W PLANK RD
PEORIA, IL
ZIP 61604-252
Phone: (309) 687-7241

The provider's authorized official is Aaron Miller .
The authorized official title is Billing Analyst and has the following contact phone number (309) 687-7241.

The CLIA number assigned to this NPI record is 14D2220663 - other - residential trtmnt fac with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2017 and was last updated on 8/29/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	A-6162-0001-A	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A-6162-0001-A	MEDICAID	ILLINOIS
2	2B05-IPI-130	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »