HUMAN SUPPORT SERVICES
NPI 1003593179
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Waterloo, IL

Active since June 30, 2023CLIA 14D2091056 · Waiver
224 N MAIN ST REAR, WATERLOO, IL 62298(618) 939-4444 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Human Support Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUMAN SUPPORT SERVICES (NPI 1003593179) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Waterloo, Illinois and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through February 3, 2027 and lists Anne Riley, Presdient & Ceo, as its authorized official.

NPPES Registry Identity

NPI1003593179
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameHUMAN SUPPORT SERVICES
Location Address224 N MAIN ST REARWaterloo, IL 62298-1264
Mailing AddressPo Box 146Waterloo, IL 62298-0146 · (618) 939-4444
Organization SubpartNo
Authorized OfficialAnne RileyPresdient & Ceo · (618) 939-4444
Enumeration DateJune 30, 2023
NPPES CertifiedJune 7, 2023
NPI 1003593179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

224 N MAIN ST REAR, Waterloo, IL 62298

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2091056

Human Support Services · Waterloo, IL
Active · expires Feb 3, 2027
CLIA Number14D2091056
Laboratory TypeDasa (dmh) Licensed Fclty
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorRobert Cole
Laboratory Phone(618) 939-4444
Laboratory LocationHuman Support Services988 N Il Route 3, Waterloo, IL 62298
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
224 N MAIN ST REAR
WATERLOO, IL 62298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Human Support Services's NPI number?

The NPI number for Human Support Services is 1003593179. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is Human Support Services located?

Human Support Services is located at 224 N Main St Rear, Waterloo, IL 62298. The listed phone number is (618) 939-4444.

What is Human Support Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Human Support Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2091056) is associated with this NPI, valid through February 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Human Support Services was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.