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Illinois Mentor

Illinois Mentor is a healthcare organization registered as Foster Care Agency in Matteson, IL, holding Type 2 (organization) NPI 1396954467 since 2007. The authorized official on file is Viviane Ngwa, Executive Director.

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NPI 1396954467
Entity type Organization (Type 2)
Legal business name Illinois Mentor
Practice address 600 HOLIDAY PLAZA DR, SUITE 400, Matteson, IL, 60443
Phone 7086799137
Fax 7085036267
Enumeration date 2007-05-22
Last updated in NPPES 2022-07-21

Authorized official

Name Viviane Ngwa
Title Executive Director
Phone 7086799137

Taxonomy & classification

Taxonomy code Specialty Primary License State
251B00000X Case Management Agency Secondary IL
320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Secondary IL
253J00000X Foster Care Agency Primary
Copy-ready billing details
Provider: Illinois Mentor
NPI: 1396954467
Taxonomy: 253J00000X (Foster Care Agency)
Address: 600 HOLIDAY PLAZA DR, SUITE 400, Matteson, IL, 60443

Providers at this address

NPI Name Type Specialty Location
1942445077 Personal Care Pharmacy Organization Pharmacy Matteson, IL
1821435801 National Mentor Holdings Inc Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Matteson, IL
1356707640 West Adams Health Services Inc. Organization Internal Medicine Physician Matteson, IL
1285198523 Sugar Home Health LLC Organization Nursing Care Agency Matteson, IL
1952957698 Southland Care Coordination Partners, Inc. Organization Family Nurse Practitioner Matteson, IL
1194364646 Morgan Williams Individual Clinical Social Worker Matteson, IL
1750079943 Amber Cook Individual Assistant Behavior Analyst Matteson, IL
1801670344 Harriet Nakiwujjo Individual Behavior Analyst Matteson, IL

Verify this record

Cross-check NPI 1396954467 against the authoritative CMS record: view Illinois Mentor on the official NPPES registry .

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 or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.
Where is Illinois Mentor located?
The practice location on file with NPPES is in Matteson, IL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.