AUNT MARTHA'S YOUTH SERVICE CENTER, INC
NPI 1629212980
Community Based Residential Treatment Facility, Mental Illness in Burnham, IL

Active since April 29, 2009
14046 S CALHOUN AVE, BURNHAM, IL 60633(708) 747-7100 Get Directions Write a Review

NPPES record last updated: December 3, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aunt Martha's Youth Service Center, Inc NPPES

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

AUNT MARTHA'S YOUTH SERVICE CENTER, INC (NPI 1629212980) is a healthcare organization registered as a community based residential treatment facility, mental illness in Burnham, Illinois and active in the NPI registry since April 2009. The organization lists Christopher J Nordloh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629212980
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER, INC
Location Address14046 S CALHOUN AVEBurnham, IL 60633-2138
Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (708) 747-7100
Organization SubpartNo
Authorized OfficialChristopher J NordlohCfo · (708) 747-7100
Enumeration DateApril 29, 2009
Last NPPES UpdateDecember 3, 2010
NPI 1629212980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
14046 S CALHOUN AVE, Burnham, IL 60633

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 Aunt Martha's Youth Service Center, Inc's NPI number?

The NPI number for Aunt Martha's Youth Service Center, Inc is 1629212980. It was assigned to this organization in the NPPES registry on April 29, 2009.

Where is Aunt Martha's Youth Service Center, Inc located?

Aunt Martha's Youth Service Center, Inc is located at 14046 S Calhoun Ave, Burnham, IL 60633. The listed phone number is (708) 747-7100.

What is Aunt Martha's Youth Service Center, Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Aunt Martha's Youth Service Center, Inc was last updated on December 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.