Human Service Center

LBN: Human Service Center
Human Service Center is an health care organization with primary practice located at 130 N Richard Pryor Pl , Peoria IL 61605-2484. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Human Service Center can be contacted via phone (309) 671-8005, or through Kennedy, Michael via phone (309) 671-8005.

Contact Information

Primary practice address
130 N Richard Pryor Pl Peoria IL 61605-2484
Phone: (309) 671-8005
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Michael
Phone: (309) 671-8005

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X A-0324-0001-A Illinois
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 003240001 Illinois

Profile Details

NPI number 1770960684
LBN Legal business name Human Service Center
DBA Doing business as
Authorized official Kennedy, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2015
Last updated Dec 12th, 2017 - about 9 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 1770960684 NPPES
Illinois MEDICAID 003240001

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