PIONEER CENTER FOR HUMAN SERVICES NPI 1437430048

NPI Information

NPI: 1437430048
Provider Name: PIONEER CENTER FOR HUMAN SERVICES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
3941 W DAYTON ST
MCHENRY, IL
ZIP 60050
Phone: (815) 759-7016
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PIONEER CENTER FOR HUMAN SERVICES is a community based residential treatment facility mental illness in Mchenry, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PIONEER CENTER FOR HUMAN SERVICES NPI is 1437430048. The provider is registered as an organization entity type.

The provider's business location address is:

3941 W DAYTON ST
MCHENRY, IL
ZIP 60050-377
Phone: (815) 759-7016
Fax: (815) 759-7298

The provider's authorized official is Frank Samuel .
The authorized official title is Co-ceo and has the following contact phone number (815) 759-7135.

The enumeration date for this NPI number is 9/9/2011 and was last updated on 2/23/2021.

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	License Number	License State	Primary
1	251B00000X	Case Management	180.004645	ILLINOIS	No
2	251S00000X	Community/Behavioral Health	180.004645	ILLINOIS	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness	180.004645	ILLINOIS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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