Aunt Marthas Health and Outreach Center – Federally Qualified Health Center (FQHC), NPI 1629118161

Aunt Marthas Health and Outreach Center is a healthcare provider. based in Olympia fields, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Aunt Marthas Health and Outreach Center is 1629118161

Main info

Organization
Name
Aunt Marthas Health and Outreach Center
NPI
1629118161
Phone
(708) 747-7100
Address
19990 GOVERNORS HWY
Authorized Official
AUDREY PENNINGTON EXEC. VP OF HEALTH
Enumeration Date
7 February 2007
Last Update Date
2 November 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Aunt Marthas Health and Outreach Center

  • 19990 GOVERNORS HWY

    OLYMPIA FIELDS, IL 604611021

    Phone: (708) 747-7100

    Fax: (708) 747-0710

    Type: Mailing

  • 680 S RIVER ST

    AURORA, IL 605065552

    Phone: (877) 692-8686

    Fax: (708) 747-8024

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-02-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-10-31 (586 days ago).

Enrollment records

1

Earliest due date

2024-10-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100218000425OFederally Qualified Health Center (Fqhc)IL2024-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60461)

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Reviews

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Frequently asked questions

Does Aunt Marthas Health and Outreach Center have a public NPI I can cite?
Public records show Aunt Marthas Health and Outreach Center under NPI 1629118161.
Is Aunt Marthas Health and Outreach Center's NPI status active today?
Active status means Aunt Marthas Health and Outreach Center's NPI record is not deactivated in the public file.
Which specialty label fits Aunt Marthas Health and Outreach Center?
NPPES ties Aunt Marthas Health and Outreach Center to Federally Qualified Health Center (FQHC) in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Aunt Marthas Health and Outreach Center?
Aunt Marthas Health and Outreach Center is associated with Olympia Fields, Illinois in the same public data insurers reference.
Who maintains Aunt Marthas Health and Outreach Center's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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