Clinic/Center (Mental Health (Including Community Mental Health Center)) in Effingham, IL

NPI 1013163252 Organization Clinic/Center Mental Health (Including Community Menta...


Heartland Human Services is a provider established in Effingham, Illinois specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Heartland Human Services is 1013163252 and was assigned on August 2008. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Shannon Quandt (Executive Director)



Provider Location Address3000 SUGAR MILL CT EFFINGHAM, IL 62401
Provider Mailing Address1200 N 4TH ST PO BOX 1047 EFFINGHAM, IL 62401
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-07-2008
Last Update Date11-29-2018

Primary Taxonomy

Taxonomy Code261QM0801X
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)

Business Address

ZIP 62401
Phone: (217) 347-7179
Fax: (217) 342-6716

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Mailing Address

1200 N 4TH ST
PO BOX 1047
ZIP 62401
Phone: (217) 347-7179
Fax: (217) 342-6716

Authorized Official

Authorized Official Name SHANNON QUANDT
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(217) 347-7179

Secondary Taxonomies

The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness91S064ILNo

Taxonomy Description: a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.