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ILLINOIS MENTOR
NPI 1124457825
Foster Care Agency in Rockford, IL

Active since November 04, 2013
615 N LONGWOOD ST, ROCKFORD, IL 61107(181) 528-2615 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illinois Mentor NPPES

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

ILLINOIS MENTOR (NPI 1124457825) is a healthcare organization registered as a foster care agency in Rockford, Illinois and active in the NPI registry since November 2013. The organization lists Sara Spencer, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124457825
Entity TypeOrganization
Primary Taxonomy253J00000X
Legal Business NameILLINOIS MENTOR
Location Address615 N LONGWOOD STRockford, IL 61107-4265
Mailing Address600 Holiday Plaza Dr, Suite 400Matteson, IL 60443-2241 · (170) 867-9913
Phone(181) 528-2615
Organization SubpartNo
Authorized OfficialSara SpencerExecutive Director · 17086799137
Enumeration DateNovember 4, 2013
✔ NPI 1124457825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
615 N LONGWOOD ST, Rockford, IL 61107
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Other Providers at the Same Location NPPES

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

STRICTLY DENTURES, INC.
Dentist
615 N LONGWOOD ST, SUITE 201
ROCKFORD, IL 61107
Winnebago County (815) 969-0531

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 Illinois Mentor's NPI number?

The NPI number for Illinois Mentor is 1124457825. It was assigned to this organization in the NPPES registry on November 4, 2013.

Where is Illinois Mentor located?

Illinois Mentor is located at 615 N Longwood St, Rockford, IL 61107. The listed phone number is (181) 528-2615.

What is Illinois Mentor's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

When was this NPI record last updated?

The NPPES record for Illinois Mentor was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.