OrganizationActive
Human Support Services
NPI 1639660244 · Substance Use Disorder Rehabilitation Clinic/Center · Waterloo, IL
Provider details
- NPI number
- 1639660244
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Jones, Billing Manager(618) 939-4444
- License
- A-0112-0001-A (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
988 N Illinois Route 3
Waterloo, IL 62298-1059
Phone: (618) 939-4444
Fax: (618) 939-4181
Street-level locationGet directions
Mailing address
Po Box 146
Waterloo, IL 62298-0146
Registry dates
- Enumerated
- 2018-05-21
- Last updated
- 2018-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.