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SOUTHSTAR SERVICES
NPI 1053503094
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago Heights, IL

Active since August 14, 2007
1005 W END AVE, CHICAGO HEIGHTS, IL 60411(708) 755-8030(708) 755-8047 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southstar Services NPPES

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

SOUTHSTAR SERVICES (NPI 1053503094) is a healthcare organization registered as a mental health (including community mental health center) in Chicago Heights, Illinois and active in the NPI registry since August 2007. The organization maintains 3 additional practice locations and lists Gus Van Den Brink, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1053503094
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSERTOMA STAR SERVICES, INC.
Location Address1005 W END AVEChicago Heights, IL 60411-2742
Mailing Address1005 W End AveChicago Heights, IL 60411-2742
Phone(708) 755-8030
Fax(708) 755-8047
Organization SubpartNo
Authorized OfficialGus Van Den BrinkPresident/ceo · (708) 730-6216
Enumeration DateAugust 14, 2007
Last NPPES UpdateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1053503094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License 946232 (IL)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 946232 (IL)
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
1005 W END AVE, Chicago Heights, IL 60411
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Other Names 1

Doing Business AsSouthstar Services

Secondary Practice Locations 3

Location 14331 Lincoln HwyMatteson, IL 60443-2404 · Phone (708) 748-1951 · Fax (708) 755-8047
Location 24343 W 123rd StAlsip, IL 60803-1807 · Phone (708) 371-9700 · Fax (708) 755-8047
Location 34100 W 127th StAlsip, IL 60803-1925 · Phone (708) 371-9700 · Fax (708) 755-8047

Other Providers at the Same Location NPPES

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

KIERRA DAVENPORT
Behavior Analyst
1005 W END AVE
CHICAGO HEIGHTS, IL 60411
Cook County (708) 755-8030

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 Sertoma Star Services, Inc.'s NPI number?

The NPI number for Sertoma Star Services, Inc. is 1053503094. It was assigned to this organization in the NPPES registry on August 14, 2007. The provider is doing business as Southstar Services.

Where is Sertoma Star Services, Inc. located?

Sertoma Star Services, Inc. is located at 1005 W End Ave, Chicago Heights, IL 60411. The listed phone number is (708) 755-8030.

What is Sertoma Star Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Sertoma Star Services, Inc. was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.