NPIMap

Organization Active NPI

Pioneer Center for Human Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Crystal Lake, IL
National Provider Identifier
1083089361
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PIONEER CENTER FOR HUMAN SERVICES
Practice address
455 Huntley Rd
Crystal Lake, IL 60014-5318
Phone
(815) 344-1230
NPI assigned
Dec 11, 2015
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank Samuel
Title
Co-Ceo
Phone
(815) 759-7135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

455 Huntley Rd
Crystal Lake, IL 60014-5318

Mailing address

4031 W Dayton St
McHenry, IL 60050-8377
Phone (815) 344-1230

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Center for Human Services18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1083089361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 W DAYTON ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508377",
            "telephone_number": "815-344-1230",
            "fax_number": "815-344-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 HUNTLEY RD",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145318",
            "telephone_number": "815-344-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CENTER FOR HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "815-759-7135"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.