NPIMap

Organization Active NPI

Children'S Home Association of Illinois

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Peoria, IL
National Provider Identifier
1811484108
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
2B05-IPI-130 Issued in IL
Legal business name
CHILDREN'S HOME ASSOCIATION OF ILLINOIS
Practice address
7225 W Plank Rd
Peoria, IL 61604-5252
Phone
(309) 685-1047
Fax
(309) 687-6615
NPI assigned
Apr 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Julie Siebert
Title
Director of Compliance
Phone
(309) 687-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 2B05-IPI-130 IL Primary

Addresses

Primary practice location

7225 W Plank Rd
Peoria, IL 61604-5252

Mailing address

7225 W Plank Rd
Peoria, IL 61604-5252
Phone (309) 685-1047

Other identifiers 1

IdentifierTypeStateIssuer
2B05-IPI-130MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Children'S Home Association of Illinois20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1811484108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 W PLANK RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616045252",
            "telephone_number": "309-685-1047",
            "fax_number": "309-687-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 W PLANK RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616045252",
            "telephone_number": "309-685-1047",
            "fax_number": "309-687-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOME ASSOCIATION OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "309-687-7440"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "2B05-IPI-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B05-IPI-130",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.