NPIMap

Organization Active NPI

Cunningham Children's Home of Urbana Il

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Champaign, IL
National Provider Identifier
1871047209
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
701 Devonshire Dr
Champaign, IL 61820-7337
Phone
(217) 367-3728
Fax
(217) 367-2896
NPI assigned
Aug 15, 2016
Organization subpart
Yes
Parent organization
CUNNINGHAM CHILDREN'S HOME OF URBANA ILAs reported in NPPES

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

701 Devonshire Dr
Champaign, IL 61820-7337

Mailing address

701 Devonshire Dr
Champaign, IL 61820-7337
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
Part of
Cunningham Children's Home of Urbana Il

Other organizations with this tax ID 9

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

Locations

701 Devonshire Dr
Ste 1618
Champaign, IL 61820
Phone (217) 531-2360

701 Devonshire Dr
Champaign, IL 61820
Phone (217) 359-8637

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1871047209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DEVONSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207337",
            "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": "701 DEVONSHIRE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207337",
            "telephone_number": "217-367-3728",
            "fax_number": "217-367-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM CHILDREN'S HOME OF URBANA IL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CUNNINGHAM CHILDREN'S HOME OF URBANA IL",
        "enumeration_date": "2016-08-15",
        "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 Champaign, 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.