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ILLINOIS MENTOR
NPI 1396954467
Foster Care Agency in Matteson, IL

Active since May 22, 2007
600 HOLIDAY PLAZA DR, SUITE 400, MATTESON, IL 60443(708) 679-9137(708) 503-6267 Get Directions Write a Review

NPPES record last updated: July 21, 2022. 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 1396954467) is a healthcare organization registered as a foster care agency in Matteson, Illinois and active in the NPI registry since May 2007. The organization lists Viviane Ngwa, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396954467
Entity TypeOrganization
Primary Taxonomy253J00000X
Legal Business NameILLINOIS MENTOR
Location Address600 HOLIDAY PLAZA DR, SUITE 400Matteson, IL 60443-2241
Mailing Address600 Holiday Plaza Dr, Suite 400Matteson, IL 60443-2241 · (708) 679-9137 · Fax (708) 503-6267
Phone(708) 679-9137
Fax(708) 503-6267
Organization SubpartNo
Authorized OfficialViviane NgwaExecutive Director · (708) 679-9137
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 21, 2022
✔ NPI 1396954467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
600 HOLIDAY PLAZA DR, Matteson, IL 60443
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Other Providers at the Same Location NPPES 12

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

ALYSSA HAMILTON
Behavior Technician
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (779) 262-0477
DALLAS WILSON
Behavior Technician
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (773) 641-8166
MORGAN WILLIAMS
Social Worker (Clinical)
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (708) 248-5009
SUGAR HOME HEALTH LLC
Nursing Care
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (312) 924-1831
WEST ADAMS HEALTH SERVICES INC.
Internal Medicine
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (708) 898-2613
AMBER ANIESE COOK
Assistant Behavior Analyst
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (708) 927-2690
HARRIET NAKIWUJJO
Behavior Analyst
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (630) 246-8616
NATIONAL MENTOR HOLDINGS INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
600 HOLIDAY PLAZA DR, SUITE 400
MATTESON, IL 60443
Cook County (708) 679-9137

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 1396954467. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Illinois Mentor located?

Illinois Mentor is located at 600 Holiday Plaza Dr Suite 400, Matteson, IL 60443. The listed phone number is (708) 679-9137.

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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.