OrganizationActive
Human Service Center
NPI 1164692141 · Mental Illness Community Based Residential Treatment Facility · Sparta, IL
Provider details
- NPI number
- 1164692141
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Amy Bauer, Mis Coordinator(618) 282-6233
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
207 N Hasle St
Sparta, IL 62286-1541
Phone: (618) 443-6044
Fax: (618) 443-6186
Street-level locationGet directions
Mailing address
10257 State Route 3
Red Bud, IL 62278-4418
Registry dates
- Enumerated
- 2008-03-06
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.