✓ Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness (320800000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

AUNT MARTHA'S YOUTH SERVICE CENTER, INC (NPI #1336383512)

Community Based Residential Treatment Facility, Mental Illness • MONEE, IL • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1336383512
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
320800000X
Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness
Box 32 Service Location & ZIP+4
6010 W INDUSTRIAL DR, MONEE, IL, 60449-9129
✓ 9-Digit EDI 837 ZIP+4 (60449-9129)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1336383512 (AUNT MARTHA'S YOUTH SERVICE CENTER, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1336383512 (NPI-2 Organization / Facility)
Provider / Legal NameAUNT MARTHA'S YOUTH SERVICE CENTER, INC
Plain-English SpecialtyLicensed & Credentialed Community Based Residential Treatment Facility, Mental Illness
NUCC Code: 320800000X (Community Based Residential Treatment Facility, Mental Illness)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address6010 W INDUSTRIAL DR, MONEE, IL, 60449-9129
Practice Telephone / FaxTel: (708) 747-7100
Administrative Mailing Address19990 GOVERNORS HWY, OLYMPIA FIELDS, IL, 60461-1021
Enumeration & Last SyncEnumerated: 2009-05-01 | CMS Record Updated: 2013-02-19
Authorized OfficialCHRISTOPHER NORDLOH (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6010 W INDUSTRIAL DR, MONEE, IL, 60449-9129

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Plain-English Taxonomy & CMS Crosswalk (320800000X)

What Does Taxonomy Code 320800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 320800000X translates to:
"Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Based Residential Treatment Facility, Mental Illness for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AUNT MARTHA'S YOUTH SERVICE CENTER, INC)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
320800000X — Community Based Residential Treatment Facility, Mental Illness
Plain English: Licensed & Credentialed Community Based Residential Treatment Facility, Mental Illness
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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