AUNT MARTHA'S HEALTH AND WELLNESS, INC. – NPI #1396338570
Clinic/Center

AUNT MARTHA'S HEALTH AND WELLNESS, INC. is an AHC clinic located in PEORIA, IL. NPPES has assigned the NPI number 1396338570 to AUNT MARTHA'S HEALTH AND WELLNESS, INC. on February 18, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

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 AUNT MARTHA'S HEALTH AND WELLNESS, INC. below.

NPI Profile for
AUNT MARTHA'S HEALTH AND WELLNESS, INC.

NPI Number
1396338570
Enumeration Date

(more than 5 years 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
AUNT MARTHA'S HEALTH AND WELLNESS, INC.
Primary location
420 NE GLEN OAK AVE FL 1
PEORIA, IL 61603-3106
Phone: (877) 692-8686 Fax: (708) 747-8024
Mailing address
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461-1021
Phone: (877) 692-8686 Fax: (708) 747-8024
Organization Subpart
No
Authorized Official
AUDREY PENNINGTON
COO
Phone: (773) 802-7645
Updated
Certification Date
Feb 18, 2021

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.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

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.