HUMAN SERVICE CENTER – NPI #1225415136
Substance Abuse Rehabilitation Facility

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 is a substance abuse rehabilitation facility located in PEORIA, IL. NPPES has assigned the NPI number 1225415136 to HUMAN SERVICE CENTER on April 29, 2015. 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 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 8 years ago on Dec 12, 2017. 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 HUMAN SERVICE CENTER below.

NPI Profile for
HUMAN SERVICE CENTER

NPI Number
1225415136
Enumeration Date

(more than 11 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
HUMAN SERVICE CENTER
Primary location
3500 W NEW LEAF LANE
RETREAT WING
PEORIA, IL 61615
Phone: (309) 671-8000 Fax:
Mailing address
PO BOX 1346
PEORIA, IL 61654-1346
Phone: (309) 671-8005 Fax: (309) 671-8039
Organization Subpart
No
Authorized Official
MICHAEL KENNEDY
PRESIDENT/CEO
Phone: (309) 671-8005
Updated
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
IL 003240009
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder
IL A-0324-0009-A

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.