NPIMap

Organization Active NPI

Cunningham Children'S Home of Urbana Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Urbana, IL
National Provider Identifier
1821055658
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CUNNINGHAM CHILDREN'S HOME OF URBANA IL
Practice address
1301 N Cunningham Ave
Urbana, IL 61802-1830
Phone
(217) 367-3728
Fax
(217) 367-2896
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Mr. Marlin Livingston, MSW
Title
President / C.E.O.
Phone
(217) 367-3728

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1301 N Cunningham Ave
Urbana, IL 61802-1830

Mailing address

PO Box 878
Urbana, IL 61803-0878
Phone (217) 367-3728

National Provider Directory

National Provider Directory
Tax ID family
Cunningham Children'S Home of Urbana Il10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1301 N Cunningham Ave
Urbana, IL 61802
Phone (217) 367-3728

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1821055658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 878",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618030878",
            "telephone_number": "217-367-3728",
            "fax_number": "217-367-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N CUNNINGHAM AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618021830",
            "telephone_number": "217-367-3728",
            "fax_number": "217-367-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM CHILDREN'S HOME OF URBANA IL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_title_or_position": "PRESIDENT / C.E.O.",
        "authorized_official_telephone_number": "217-367-3728",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

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