National Provider Identifier Database

ILLINOIS MENTOR
Foster Care Agency

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.


Contact Information

ILLINOIS MENTOR
522 VERMONT ST
SUITE 3
QUINCY, IL62301-2926
Phone: 217-224-5550
Fax: 217-224-5664
Website:
Specialty Taxonomy Code
* Foster Care Agency 253J00000X
Case Management 251B00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for ILLINOIS MENTOR

NPI Number 1376871442
Legal business name
LBN
ILLINOIS MENTOR
Authorized official VIVIANE NGWA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 11/30/2009
Last updated 11/30/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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