AUDRA MARIE STANCE BA, MPA
NPI 1023688850
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Peoria, IL

Q: What is Audra Stance's NPI number?

The NPI number for Audra Stance is 1023688850. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Q: What is Audra Stance's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Audra Stance was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2021

2310 W STARR ST, PEORIA, IL 61605(510) 563-9785 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Audra Marie Stance Ba, Mpa NPPES

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

AUDRA MARIE STANCE BA, MPA (NPI 1023688850) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Peoria, Illinois and active in the NPI registry since June 2021. She maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1023688850

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameAUDRA MARIE STANCECredential: BA, MPA

Location Address2310 W STARR STPeoria, IL 61605-3240

Mailing AddressPo Box 4792Stockton, CA 95204-0792 · (510) 563-9785

Phone(510) 563-9785

Sole ProprietorYes

Enumeration DateJune 24, 2021

NPPES CertifiedJune 24, 2021

✔ NPI 1023688850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

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

2310 W STARR ST, Peoria, IL 61605

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Secondary Practice Location 1

Location 12116 W Howett StPeoria, IL 61605-1507 · Phone (510) 563-9785

Other Providers at the Same Location NPPES

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

BLACK WOMEN INVEST TOO LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

2310 W STARR ST
PEORIA, IL 61605

Peoria County (510) 563-9785

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 Audra Stance's NPI number?

The NPI number for Audra Stance is 1023688850. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Audra Stance located?

Audra Stance practices at 2310 W Starr St, Peoria, IL 61605. The listed phone number is (510) 563-9785.

What is Audra Stance's specialty?

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

When was this NPI record last updated?

The NPPES record for Audra Stance was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.