OrganizationActive
Children'S Home Association of Illinois
NPI 1003046012 · Mental Illness Community Based Residential Treatment Facility · Peoria, IL
Provider details
- NPI number
- 1003046012
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Julie Siebert, Director of Compliance(309) 687-7440
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
901 E Nebraska Ave
Peoria, IL 61603-2623
Phone: (309) 687-7432
Street-level locationGet directions
Mailing address
2130 N Knoxville Ave
Peoria, IL 61603-2460
Registry dates
- Enumerated
- 2009-07-24
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.