NPIMap

Organization Active NPI

Our Children's Homestead

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naperville, IL
National Provider Identifier
1871203547
Registry record updated Dec 2, 2022
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
OUR CHILDREN'S HOMESTEAD
Practice address
280 Shuman Blvd Ste 270
Naperville, IL 60563-3187
Phone
(630) 369-0004
Fax
(630) 369-0085
NPI assigned
Dec 2, 2022
Last updated
Dec 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Amanda Buchanan, MA, LCPC
Title
Vice President of Clinical Services
Phone
(630) 369-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

280 Shuman Blvd Ste 270
Naperville, IL 60563-3187

Mailing address

280 Shuman Blvd Ste 270
Naperville, IL 60563-3187
Phone (630) 369-0004

Other practice location 1

1401 N 2nd St Ste 2
Rockford, IL 61107-3044
Phone (815) 316-7626

National Provider Directory

National Provider Directory
Tax ID family
Our Childrens Homestead5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

280 Shuman Blvd
Ste 270
Naperville, IL 60563
Phone (630) 369-0004

1401 N 2nd St
Ste 2
Rockford, IL 61107
Phone (815) 316-7626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1871203547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 SHUMAN BLVD STE 270",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633187",
            "telephone_number": "630-369-0004",
            "fax_number": "630-369-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SHUMAN BLVD STE 270",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633187",
            "telephone_number": "630-369-0004",
            "fax_number": "630-369-0085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N 2nd St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611073044",
            "country_code": "US",
            "telephone_number": "815-316-7626",
            "fax_number": "815-316-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUR CHILDREN'S HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-02",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VICE PRESIDENT OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "630-369-0004",
        "authorized_official_credential": "MA, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.