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Childrens Home and Aid Society of Illinois

Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, IL · enumerated 2009 · authorized official Mike Shaver, President/Ceo.

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

National Provider Identifier

1417198920

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Registry record

Entity type Organization (Type 2)
Legal business name Childrens Home and Aid Society of Illinois
Other name <Unavail>
Practice address 403 S State St, Bloomington, IL, 61701
Fax (309) 828-0745
Enumeration date Mar 12, 2009
Last updated in NPPES Jan 8, 2026

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities · License 004236 (IL) Primary

Authorized official

Name Mike Shaver
Title President/Ceo

Other identifiers

Identifier Type State Issuer
004236 Medicaid IL -

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.

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Frequently asked questions

Where is Childrens Home and Aid Society of Illinois located?
The practice location on file with NPPES is in Bloomington, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-08. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-08.