Healthcare Provider Details

I. General information

NPI: 1467782037
Provider Name (Legal Business Name): ONE HOPE UNITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2010
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 S 4TH ST STE 213
EFFINGHAM IL
62401-4188
US

IV. Provider business mailing address

333 S. WABASH AVE SUITE 2750
CHICAGO IL
60604-4188
US

V. Phone/Fax

Practice location:
  • Phone: 217-347-5880
  • Fax: 217-347-5897
Mailing address:
  • Phone: 312-949-5631
  • Fax: 217-347-5897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. ELIZABETH HOPKINS
Title or Position: CQIR MEDICAID COORDINATOR
Credential:
Phone: 847-245-6556