GRAND PRAIRIE SERVICES
NPI 1730363458
Clinic/Center - Mental Health (Including Community Mental Health Center) in Country Club Hills, IL
About Grand Prairie Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND PRAIRIE SERVICES (NPI 1730363458) is a healthcare organization registered as a mental health (including community mental health center) in Country Club Hills, Illinois and active in the NPI registry since December 2007. The organization lists Sharronne Ward, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grand Prairie Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Grand Prairie Services, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Grand Prairie Services's NPI number?
The NPI number for Grand Prairie Services is 1730363458. It was assigned to this organization in the NPPES registry on December 18, 2007.
Where is Grand Prairie Services located?
Grand Prairie Services is located at 17850 Baker Ave, Country Club Hills, IL 60478. The listed phone number is (708) 444-1012.
What is Grand Prairie Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Grand Prairie Services enrolled in Medicare?
Yes. Grand Prairie Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Grand Prairie Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Grand Prairie Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (6), Family Practice (1) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Grand Prairie Services was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Grand Prairie Services · NPI 1730363458
Mental Health (Including Community Mental Health Center) organization in Country Club Hills, Illinois. Organization record, active in the CMS NPPES registry since December 18, 2007.
## Identity
- **NPI:** 1730363458 (Entity type: Organization)
- **Enumerated:** December 18, 2007
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Sharronne Ward, PRESIDENT & CEO
## Practice location
- **Address:** 17850 BAKER AVE, Country Club Hills, IL 60478-4729
- **Phone:** (708) 444-1012
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Psychiatry (6), Family Practice (1), Internal Medicine (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1730363458) · Data from the CMS NPPES public registry.