OrganizationActive
Illinois Mentor
NPI 1104154277 · Foster Care Agency · Peoria, IL
Illinois Mentor is a Foster Care Agency organization in Peoria, IL (NPI 1104154277).
Provider details
- NPI number
- 1104154277
- Entity type
- Organization
- Primary specialty
- Foster Care AgencyAgencies
- Parent organization
- Illinois Mentor
- Organization subpart
- Yes
- Authorized official
- Viviane Ngwa, Executive Director(708) 679-9137
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
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
4507 N Sterling Ave
Peoria, IL 61615-3824
Phone: (309) 676-6131
Fax: (309) 676-5655
Street-level locationGet directions
Mailing address
4507 N Sterling Ave
Peoria, IL 61615-3824
Other names (DBA / former)
- Doing business as
- Peoria Site 014030
Registry dates
- Enumerated
- 2009-11-30
- Last updated
- 2010-12-03
Frequently asked questions
- What is Illinois Mentor's NPI number?
- Illinois Mentor's National Provider Identifier (NPI) is 1104154277, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illinois Mentor?
- Illinois Mentor is classified in the NPPES registry as Foster Care Agency (Agencies).
- Where is Illinois Mentor located?
- Illinois Mentor's practice location on file with NPPES is 4507 N Sterling Ave, Peoria, IL 61615-3824.
- What is Illinois Mentor's phone number?
- The practice phone number listed in the NPPES registry for Illinois Mentor is (309) 676-6131.
- Who is the authorized official for Illinois Mentor?
- The authorized official listed on Illinois Mentor's NPPES record is Viviane Ngwa, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illinois Mentor's NPI active?
- Yes — Illinois Mentor's NPI (1104154277) is active in the NPPES registry as of the last update on 2010-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.