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JEREMIAH COMMUNITY OUTREACH SERVICES, INC
NPI 1255744371
Community/Behavioral Health in Homewood, IL

Active since June 05, 2014
935 175TH ST, SUITE 302, HOMEWOOD, IL 60430(708) 914-4248(708) 991-2975 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremiah Community Outreach Services, Inc NPPES

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

JEREMIAH COMMUNITY OUTREACH SERVICES, INC (NPI 1255744371) is a healthcare organization registered as a community/behavioral health in Homewood, Illinois and active in the NPI registry since June 2014. The organization lists Shirley Ann Golladay, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1255744371
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJEREMIAH COMMUNITY OUTREACH SERVICES, INC
Location Address935 175TH ST, SUITE 302Homewood, IL 60430-2049
Mailing Address935 175th St, Suite 302Homewood, IL 60430-2049 · (708) 914-4248 · Fax (708) 991-2975
Phone(708) 914-4248
Fax(708) 991-2975
Organization SubpartNo
Authorized OfficialShirley Ann GolladayExecutive Director · (708) 914-4248
Enumeration DateJune 5, 2014
✔ NPI 1255744371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in IL · A52410001A
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
935 175TH ST, Homewood, IL 60430
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Other Providers at the Same Location NPPES 3

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

NICOLETTE TAYLOR LPC
Counselor (Mental Health)
935 175TH ST
HOMEWOOD, IL 60430
Cook County (312) 388-1505
MINDFUL WELLNESS COUNSELING
Social Worker (Clinical)
935 175TH ST
HOMEWOOD, IL 60430
Cook County (708) 637-1672
PEACE OF MIND & LIFE COUNSELING PLLC
Counselor (Mental Health)
935 175TH ST
HOMEWOOD, IL 60430
Cook County (872) 215-2517

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 Jeremiah Community Outreach Services, Inc's NPI number?

The NPI number for Jeremiah Community Outreach Services, Inc is 1255744371. It was assigned to this organization in the NPPES registry on June 5, 2014.

Where is Jeremiah Community Outreach Services, Inc located?

Jeremiah Community Outreach Services, Inc is located at 935 175th St Suite 302, Homewood, IL 60430. The listed phone number is (708) 914-4248.

What is Jeremiah Community Outreach Services, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jeremiah Community Outreach Services, Inc was last updated on June 5, 2014. 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.