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Active NPI 1003593179 Organization (Entity Type 2)

Human Support Services

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities • Waterloo, IL

Public Directory Information & Medical Disclaimer

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About Human Support Services NPI 1003593179 Summary

Human Support Services is a verified healthcare organization specializing in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities operating in Waterloo, IL. Located at 224 N MAIN ST REAR, this facility provides patient care and medical services under National Provider Identifier (NPI) 1003593179.

Administrative operations and authorized compliance are overseen by Anne Riley (Presdient & Ceo).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

224 N Main St Rear

Waterloo, IL 622981264

Telephone 6189394444

Authorized Official Information

Authorized Contact Name

Anne Riley

Title / Role

Presdient & Ceo

Official Telephone

6189394444

Facility Classifications & Specialties

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Taxonomy

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Stephanie Moore , LCSW NPI 1013682525

Social Worker

Waterloo, IL

View Practitioner Profile →

Cari Stefani , FNP-BC, PMHNP-BC NPI 1508286477

Nurse Practitioner - Psychiatric/Mental Health

Granite City, IL

View Practitioner Profile →

Jennifer Tourville , MHP NPI 1891344248

Counselor - Mental Health

Waterloo, IL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active June 30, 2023

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2023

Registered at 224 N MAIN ST REAR, WATERLOO, IL 622981264 (Tel: 6189394444)

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Updated Business Mailing Address June 30, 2023

Registered at PO BOX 146, WATERLOO, IL 622980146 (Tel: 6189394444)

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Organization / Clinic Name Updated June 30, 2023

Operating as HUMAN SUPPORT SERVICES

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2023

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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Initial NPI Registration & Enumeration June 30, 2023

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1003593179

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: June 30, 2023

Last Update: June 30, 2023

Update or Correct Listing

Mailing Address

Po Box 146

Waterloo, IL 622980146

Phone: 6189394444

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.