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Illinois Mentor
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Peoria, Illinois
NPI 1104154277

Illinois Mentor is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Peoria, IL. Illinois Mentor practices in Peoria, IL. The NPI Number for Illinois Mentor is 1104154277 and holds a License No. (Illinois).

The current practice location address for Illinois Mentor is 4507 N Sterling Ave, Peoria, IL and can be reached out via phone at 309-676-6131 and via fax at 309-676-5655. You can also correspond with Illinois Mentor through the mailing address at 4507 N STERLING AVE, PEORIA, IL - 61615-3824 (mailing address contact number: 309-676-6131).

Location: 4507 N Sterling Ave, Peoria, IL, 61615-3824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104154277
Provider Name
Illinois Mentor
Credential
Provider Entity Type
Organization
Address
4507 N Sterling Ave, Peoria, IL, 61615-3824
Phone Number
309-676-6131
Fax Number
309-676-5655
Provider Enumeration Date
11/30/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4507 N Sterling Ave
City
Peoria
State
Illinois
Zip
61615-3824
Phone Number
309-676-6131
Fax Number
309-676-5655
person
Provider Business Mailing Address Details
Address
4507 N Sterling Ave
City
Peoria
State
Illinois
Zip
61615-3824
Phone Number
309-676-6131
Fax Number
309-676-5655
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
()
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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