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MARION SITE 014015
NPI 1598093767
Foster Care Agency in Marion, IL

Active since November 30, 2009
4503 W DEYOUNG ST, SUITE 203C, MARION, IL 62959(618) 997-9470(618) 997-9478 Get Directions Write a Review

NPPES record last updated: November 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marion Site 014015 NPPES

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

MARION SITE 014015 (NPI 1598093767) is a healthcare organization registered as a foster care agency in Marion, Illinois and active in the NPI registry since November 2009. The organization lists Viviane Ngwa, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1598093767
Entity TypeOrganization
Primary Taxonomy253J00000X
Legal Business NameILLINOIS MENTOR
Location Address4503 W DEYOUNG ST, SUITE 203CMarion, IL 62959-7654
Mailing Address4503 W Deyoung St, Suite 203cMarion, IL 62959-7654 · (618) 997-9470 · Fax (618) 997-9478
Phone(618) 997-9470
Fax(618) 997-9478
Organization SubpartYes
Authorized OfficialViviane NgwaExecutive Director · (708) 679-9137
Enumeration DateNovember 30, 2009
✔ NPI 1598093767 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
4503 W DEYOUNG ST, Marion, IL 62959
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Other Names 1

Doing Business AsMarion Site 014015

Other Providers at the Same Location NPPES 4

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

FREEDOM RESOURCES, LLC
Home Health
4503 W DEYOUNG ST, SUITE 202
MARION, IL 62959
Williamson County (618) 477-8500
WILLIAM W DONALDSON
Psychologist (Clinical)
4503 W DEYOUNG ST, SUITE 103C
MARION, IL 62959
Williamson County (618) 998-0888
NAEEM A QURESHI PC
Psychiatry & Neurology (Psychiatry)
4503 W DEYOUNG ST
MARION, IL 62959
Williamson County (618) 998-0888
SALLIE A SCHRAMM
Counselor (Mental Health)
4503 W DEYOUNG ST, SUITE 103C
MARION, IL 62959
Williamson County (618) 998-0888

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 1598093767. It was assigned to this organization in the NPPES registry on November 30, 2009. The provider is doing business as Marion Site 014015.

Where is Illinois Mentor located?

Illinois Mentor is located at 4503 W Deyoung St Suite 203C, Marion, IL 62959. The listed phone number is (618) 997-9470.

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 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.