NPIMap

Organization Active NPI

Pioneer Center for Human Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Marengo, IL
National Provider Identifier
1477928752
Registry record updated Jul 26, 2021
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
301 W Grant Hwy
Marengo, IL 60152-3038
Phone
(815) 759-7182
NPI assigned
Dec 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Julie Johnsey
Title
Credential Billing Specialist
Phone
(805) 759-7154

Specialties & licenses 1

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

Addresses

Primary practice location

301 W Grant Hwy
Marengo, IL 60152-3038

Mailing address

4100 Veterans Pkwy
McHenry, IL 60050-8350
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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1627257600000",
    "number": "1477928752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 VETERANS PKWY",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508350",
            "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": "301 W GRANT HWY",
            "city": "MARENGO",
            "state": "IL",
            "postal_code": "601523038",
            "telephone_number": "815-759-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER CENTER FOR HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CREDENTIAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "805-759-7154"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marengo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.