Aunt Martha'S Youth Service Center
NPI 1174070676 · Federally Qualified Health Center (FQHC) · Blue Island, IL
Aunt Martha'S Youth Service Center is a Federally Qualified Health Center (FQHC) organization in Blue Island, IL (NPI 1174070676).
Provider details
- NPI number
- 1174070676
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Audrey Pennington, Executive Vp of Health(773) 802-7645
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Other names (DBA / former)
- Doing business as
- Aunt Martha'S Blue Island Community Health Center
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2017-01-13
Frequently asked questions
- What is Aunt Martha'S Youth Service Center's NPI number?
- Aunt Martha'S Youth Service Center's National Provider Identifier (NPI) is 1174070676, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aunt Martha'S Youth Service Center?
- Aunt Martha'S Youth Service Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Aunt Martha'S Youth Service Center located?
- Aunt Martha'S Youth Service Center's practice location on file with NPPES is 12139 S. Western Ave, Blue Island, IL 60406.
- What is Aunt Martha'S Youth Service Center's phone number?
- The practice phone number listed in the NPPES registry for Aunt Martha'S Youth Service Center is (877) 692-8686.
- Who is the authorized official for Aunt Martha'S Youth Service Center?
- The authorized official listed on Aunt Martha'S Youth Service Center's NPPES record is Audrey Pennington, Executive Vp of Health. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aunt Martha'S Youth Service Center's NPI active?
- Yes — Aunt Martha'S Youth Service Center's NPI (1174070676) is active in the NPPES registry as of the last update on 2017-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.