Pioneer Center For Human Services
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Marengo, IL. Organization (NPI-2).
NPI number1477928752
StatusActive
Last updated in NPPESJul 26, 2021
Details
- NPI
- 1477928752
- Entity type
- Organization (NPI-2)
- Legal business name
- Pioneer Center For Human Services
- Organization subpart
- No
- Enumeration date
- Dec 11, 2015
- Certification date
- Jul 26, 2021
- Last updated
- Jul 26, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
301 W Grant HwyMarengo, IL 60152-3038
Phone 815-759-7182
Mailing address
4100 Veterans PkwyMcHenry, IL 60050-8350
Phone 815-344-1230 · Fax 815-344-3815
Authorized official
Julie Johnsey
Credential Billing Specialist
8057597154
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