AUNT MARTHA'S HEALTH AND WELLNESS, INC.
NPI 1700539517
Clinic/Center - Federally Qualified Health Center (FQHC) in Peoria, IL

Q: What is Aunt Martha's Health And Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since February 01, 2022

420 NE GLEN OAK AVE FL 1, PEORIA, IL 61603(877) 692-8686(708) 747-8024 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Aunt Martha's Health And Wellness, Inc. NPPES

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

AUNT MARTHA'S HEALTH AND WELLNESS, INC. (NPI 1700539517) is a healthcare organization registered as a federally qualified health center (fqhc) in Peoria, Illinois and active in the NPI registry since February 2022. The organization lists Audrey Pennington, Coo, as its authorized official.

NPPES Registry Identity

NPI1700539517

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameAUNT MARTHA'S HEALTH AND WELLNESS, INC.

Location Address420 NE GLEN OAK AVE FL 1Peoria, IL 61603-3106

Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (877) 692-8686

Phone(877) 692-8686

Fax(708) 747-8024

Organization SubpartNo

Authorized OfficialAudrey PenningtonCoo · (773) 802-7645

Enumeration DateFebruary 1, 2022

NPPES CertifiedJanuary 22, 2022

✔ NPI 1700539517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

420 NE GLEN OAK AVE FL 1, Peoria, IL 61603

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Other Names 1

Other NameAunt Martha's Peoria Community Health Center

Other Providers at the Same Location NPPES 2

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

AUNT MARTHA'S HEALTH AND WELLNESS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

420 NE GLEN OAK AVE FL 1
PEORIA, IL 61603

Peoria County (877) 692-8686

SHREYAS SRINIVASAN DO

Family Medicine

420 NE GLEN OAK AVE FL 1
PEORIA, IL 61603

Peoria County (877) 692-8686

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 Health And Wellness, Inc.'s NPI number?

The NPI number for Aunt Martha's Health And Wellness, Inc. is 1700539517. It was assigned to this organization in the NPPES registry on February 1, 2022. The provider is also known as Aunt Martha's Peoria Community Health Center.

Where is Aunt Martha's Health And Wellness, Inc. located?

Aunt Martha's Health And Wellness, Inc. is located at 420 NE Glen Oak Ave Fl 1, Peoria, IL 61603. The listed phone number is (877) 692-8686.

What is Aunt Martha's Health And Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Aunt Martha's Health And Wellness, Inc. was last updated on February 1, 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.