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ILLINOIS MENTOR COMMUNITY SERVICES LLC
NPI 1821435801
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Matteson, IL

Active since May 30, 2013
600 HOLIDAY PLAZA DR, SUITE 400, MATTESON, IL 60443(708) 679-9137(708) 503-6267 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illinois Mentor Community Services Llc NPPES

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

ILLINOIS MENTOR COMMUNITY SERVICES LLC (NPI 1821435801) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Matteson, Illinois and active in the NPI registry since May 2013. The organization lists David Hautanen, Business Director, as its authorized official.

NPPES Registry Identity

NPI1821435801
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameNATIONAL MENTOR HOLDINGS INC
Location Address600 HOLIDAY PLAZA DR, SUITE 400Matteson, IL 60443-2241
Mailing Address2005 W Beltline Hwy, Suite 203Madison, WI 53713-2314 · (608) 276-1191 · Fax (608) 276-1184
Phone(708) 679-9137
Fax(708) 503-6267
Organization SubpartNo
Authorized OfficialDavid HautanenBusiness Director · (608) 276-1194
Enumeration DateMay 30, 2013
Last NPPES UpdateJune 27, 2013
✔ NPI 1821435801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
600 HOLIDAY PLAZA DR, Matteson, IL 60443
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Other Names 1

Doing Business AsIllinois Mentor Community Services Llc

Other Identifiers 1

Medicaid461224998IL

Other Providers at the Same Location NPPES 12

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

ALYSSA HAMILTON
Behavior Technician
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (779) 262-0477
DALLAS WILSON
Behavior Technician
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (773) 641-8166
MORGAN WILLIAMS
Social Worker (Clinical)
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (708) 248-5009
SUGAR HOME HEALTH LLC
Nursing Care
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (312) 924-1831
WEST ADAMS HEALTH SERVICES INC.
Internal Medicine
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (708) 898-2613
ILLINOIS MENTOR
Foster Care Agency
600 HOLIDAY PLAZA DR, SUITE 400
MATTESON, IL 60443
Cook County (708) 679-9137
AMBER ANIESE COOK
Assistant Behavior Analyst
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (708) 927-2690
HARRIET NAKIWUJJO
Behavior Analyst
600 HOLIDAY PLAZA DR
MATTESON, IL 60443
Cook County (630) 246-8616

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 National Mentor Holdings Inc's NPI number?

The NPI number for National Mentor Holdings Inc is 1821435801. It was assigned to this organization in the NPPES registry on May 30, 2013. The provider is doing business as Illinois Mentor Community Services LLC.

Where is National Mentor Holdings Inc located?

National Mentor Holdings Inc is located at 600 Holiday Plaza Dr Suite 400, Matteson, IL 60443. The listed phone number is (708) 679-9137.

What is National Mentor Holdings Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for National Mentor Holdings Inc was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.