HUMAN SERVICE CENTER NPI 1225415136

NPI Information

  • NPI: 1225415136
  • Provider Name: HUMAN SERVICE CENTER
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 3500 W NEW LEAF LANE
    RETREAT WING
    PEORIA, IL
    ZIP 61615
  • Phone: (309) 671-8000

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NPI Details

HUMAN SERVICE CENTER is a substance abuse rehabilitation facility in Peoria, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. HUMAN SERVICE CENTER NPI is 1225415136. The provider is registered as an organization entity type.

The provider's business location address is:

3500 W NEW LEAF LANE
RETREAT WING
PEORIA, IL
ZIP 61615
Phone: (309) 671-8000

The provider's authorized official is Michael Kennedy .
The authorized official title is President/ceo and has the following contact phone number (309) 671-8005.

The enumeration date for this NPI number is 4/29/2015 and was last updated on 12/12/2017.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderA-0324-0009-AILLINOISNo
2324500000XSubstance Abuse Rehabilitation Facility003240009ILLINOISYes

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=========0100324MEDICAIDILLINOIS

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: 11/21/2025

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