SERTOMA STAR SERVICES, INC. – NPI #1629830815
Clinic/Center

SERTOMA STAR SERVICES, INC. is a AHC clinic located in MATTESON, IL. NPPES recently assigned the NPI number 1629830815 to SERTOMA STAR SERVICES, INC. on January 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Feb 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SERTOMA STAR SERVICES, INC. below.

NPI Profile for
SERTOMA STAR SERVICES, INC.

NPI Number
1629830815
Created

(about 5 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SERTOMA STAR SERVICES, INC.
Primary location
4331 LINCOLN HWY
MATTESON, IL 60443-2404
Phone: (708) 755-8030 Fax:
Mailing address
1005 W END AVE
CHICAGO HEIGHTS, IL 60411-2742
Phone: Fax:
Organization Subpart
No
Authorized Official
GUS VAN DEN BRINK
PRESIDENT/CEO
Phone: (708) 730-6216
Updated
Certification Date
Feb 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.