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GRAND PRAIRIE SERVICES
NPI 1730363458
Clinic/Center - Mental Health (Including Community Mental Health Center) in Country Club Hills, IL

Active since December 18, 2007
17850 BAKER AVE, COUNTRY CLUB HILLS, IL 60478(708) 444-1012 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2023, May 12, 2016 (2 updates tracked since 2016).

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

NPI1730363458
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameGRAND PRAIRIE SERVICES
Location Address17850 BAKER AVECountry Club Hills, IL 60478-4729
Mailing Address17746 Oak Park AveTinley Park, IL 60477-3936 · (708) 444-1012 · Fax (708) 614-9449
Phone(708) 444-1012
Organization SubpartNo
Authorized OfficialSharronne WardPresident & Ceo · (708) 444-1012
Enumeration DateDecember 18, 2007
Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1730363458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
17850 BAKER AVE, Country Club Hills, IL 60478
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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.

PAMELA L VELAZQUEZ
Behavior Analyst
17850 BAKER AVE
COUNTRY CLUB HILLS, IL 60478
Cook County (708) 922-0538
BERTHA M MILLER
Behavior Analyst
17850 BAKER AVE
COUNTRY CLUB HILLS, IL 60478
Cook County (708) 754-8815
ERICA JEFFERSON
Case Manager/Care Coordinator
17850 BAKER AVE
COUNTRY CLUB HILLS, IL 60478
Cook County (708) 922-0538
GWENDOLYN L JOHNSON
Behavior Analyst
17850 BAKER AVE
COUNTRY CLUB HILLS, IL 60478
Cook County (708) 922-0538

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.

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.