OrganizationActive
Human Service Center
NPI 1194937219 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sparta, IL
Provider details
- NPI number
- 1194937219
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Amy Bauer, Mis Coordinator(618) 282-6233
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
101 Melmar Ct
Sparta, IL 62286-1183
Phone: (618) 282-6233
Fax: (618) 282-6220
Street-level locationGet directions
Mailing address
10257 State Route Three
Red Bud, IL 62278
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2013-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.