Organization
HUMAN SERVICE CENTER
Active
Organization
HUMAN SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KENNEDY (PRESIDENT/CEO)
(309) 671-8005
Entity
Organization
Contact information
Practice address
228 NE JEFFERSON AVE, PEORIA, IL 61603-3802
(309) 671-8005
Mailing address
PO BOX 1346, PEORIA, IL 61654-1346
(309) 671-8005
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
003240005
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0324-0005-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003240005
—
IL
Enumeration date
04/29/2015
Last updated
12/12/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up