HUMAN SUPPORT SERVICES
NPI 1376093625
Day Training, Developmentally Disabled Services in Waterloo, IL

NPI Status: Active since October 11, 2016

Contact Information

988 N ILLINOIS ROUTE 3
WATERLOO, IL
ZIP 62298
Phone: (618) 939-4444
Fax: (618) 939-4181

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About HUMAN SUPPORT SERVICES

This page provides the complete NPI Profile along with additional information for Human Support Services, a provider established in Waterloo, Illinois operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1376093625 assigned on October 2016. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Anne Riley Lcsw (Executive Director)

NPI
1376093625
Provider Name
HUMAN SUPPORT SERVICES
Entity Type
Organization
Location Address
988 N ILLINOIS ROUTE 3 WATERLOO, IL 62298
Location Phone
(618) 939-4444
Location Fax
(618) 939-4181
Mailing Address
988 N ILLINOIS ROUTE 3 PO BOX 146 WATERLOO, IL 62298
Mailing Phone
(618) 939-4444
Mailing Fax
(618) 939-4181
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-11-2016
Last Update Date
05-25-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANNE RILEY LCSW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(618) 939-4444

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376093625
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314609664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 0 + 9 + 6 + 6 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1376093625 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689787699 JENNIFER NICOLE SHEMONIC BA, LPC
Individual
Counselor (Professional)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1871699645MR. JONATHAN ANDREW BURKHART BS
Individual
Counselor988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1487750261 LINDSEY WELKER BA
Individual
Psychologist (Counseling)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1255431672 CHRISTOPHER GENE LOVING CADC
Individual
Counselor (Addiction (Substance Use Disorder))988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1720124258 TANYA A DURRER RN
Individual
Registered Nurse (Psychiatric/Mental Health)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1073659504 KIMBERLY ANN PENNOCK LCSW
Individual
Social Worker (Clinical)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1396881819 DAWN AMY TRAVELSTEAD LPN
Individual
Licensed Practical Nurse988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1972717205 JACQUELINE ELLEN WILSON MAQMHP
Individual
Counselor (Mental Health)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1770772998 DAVID W DREVITS LCSW
Individual
Social Worker (Clinical)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1972760445 LANCE EDWIN QUALMANN MA, QHMP
Individual
Counselor988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1154692028 SABRINA GUMMERSHEIMER
Individual
Counselor (Professional)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1003258567 DEBRA WILKERSON LPN
Individual
Licensed Practical Nurse988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1144642026 DARRYN HAUDRICH LPC
Individual
Counselor988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1467861674 JAMES S SWEENEY MSW
Individual
Counselor (Mental Health)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1629510367 VERONICA DURDELLO
Individual
Counselor (Mental Health)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1740711803MS. MARY JO RENZAGLIA-WEIR
Individual
Behavior Analyst988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1427059476MS. MELISSA I. HARRIS LCPC, LMHC
Individual
Counselor (Mental Health)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1013105295 MARY GATES-GULLY MS, CADC
Individual
Counselor (Addiction (Substance Use Disorder))988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1639660244HUMAN SUPPORT SERVICES
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(618) 939-4444
1396226643 LINDSAY PROFFER LPC
Individual
Counselor988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298
(619) 393-4444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376093625, enumerated in the NPI registry as an "organization" on October 11, 2016

The provider is located at 988 N Illinois Route 3 Waterloo, Il 62298 and the phone number is (618) 939-4444

This medical organization specializes in Day Training, Developmentally Disabled Services with taxonomy code 251C00000X

This NPI record was last updated on October 11, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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