NPIMap

Organization Active NPI

Children's Home and Aid Society of Illinois

Doing business as Children's Home and aid

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
National Provider Identifier
1164957924
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2B05-IPI-129 Issued in IL
Legal business name
CHILDREN'S HOME AND AID SOCIETY OF ILLINOIS
Doing business as
Children's Home and aid
Practice address
1501 Interstate Dr Ste B
Champaign, IL 61822-1007
Phone
(217) 530-4040
NPI assigned
Apr 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Mike Shaver
Title
President/Ceo
Phone
(124) 246-8013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2B05-IPI-129 IL Primary

Addresses

Primary practice location

1501 Interstate Dr Ste B
Champaign, IL 61822-1007

Mailing address

200 W Monroe St Ste 2100
Chicago, IL 60606-5071
Phone (312) 424-0200

Other identifiers 1

IdentifierTypeStateIssuer
2B05-IPI-129MedicaidIL

Other names 1

  • Children's Home and aid Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Home and Aid21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1164957924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MONROE ST STE 2100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065071",
            "telephone_number": "312-424-0200",
            "fax_number": "312-424-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 INTERSTATE DR STE B",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618221007",
            "telephone_number": "217-530-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOME AND AID SOCIETY OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "124-246-8013"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "2B05-IPI-129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B05-IPI-129",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Home and aid",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Home and aid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.