Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Sertoma Star Services, Inc.

Q: What type of organization is Sertoma Star Services, Inc.?

Sertoma Star Services, Inc. is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).

Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago Heights, IL · enumerated 2007 · authorized official Gus Van Den Brink, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053503094

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Registry record

Entity type Organization (Type 2)

Legal business name Sertoma Star Services, Inc.

Other name <Unavail>

Practice address 1005 W End Ave, Chicago Heights, IL, 60411

Phone (708) 755-8030

Fax (708) 755-8047

Enumeration date Aug 14, 2007

Last updated in NPPES Feb 12, 2024

Taxonomy & classification

251C00000X Developmentally Disabled Services Day Training Agency Agencies · License 946232 (IL) Secondary

251S00000X Community/Behavioral Health Agency Agencies Secondary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License 946232 (IL) Secondary

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Gus Van Den Brink

Title President/Ceo

Phone (708) 730-6216

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Sertoma Star Services, Inc.?

Sertoma Star Services, Inc. is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).

Providers at this address

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Kierra Davenport Behavior Analyst · Chicago Heights, IL NPI 1275297400

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-12.