Hoyleton Youth and Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HOYLETON YOUTH AND FAMILY SERVICES

Practice address

1311 S Marion Ave
Salem, IL 62881-4118

Phone

(618) 740-1377

Fax

(618) 740-1386

NPI assigned

Sep 18, 2018

Last updated

Sep 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher L. Cox

Title

President / Ceo

Phone

(618) 688-4727

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1437633245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 EXECUTIVE DR STE 200",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081350",
            "telephone_number": "618-688-4727",
            "fax_number": "618-726-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MARION AVE",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628814118",
            "telephone_number": "618-740-1377",
            "fax_number": "618-740-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOYLETON YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "618-688-4727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371222958015",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Salem, IL
• Providers in Salem, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.