SERTOMA STAR SERVICES, INC. – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1629830815

SERTOMA STAR SERVICES, INC. is a healthcare provider. based in Chicago heights, Illinois. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for SERTOMA STAR SERVICES, INC. is 1629830815

Main info

Organization
Name
SERTOMA STAR SERVICES, INC.
NPI
1629830815
Phone
Not provided
Address
1005 W END AVE
Authorized Official
GUS VAN DEN BRINK PRESIDENT/CEO
Enumeration Date
24 January 2024
Last Update Date
5 February 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for SERTOMA STAR SERVICES, INC.

  • 1005 W END AVE

    CHICAGO HEIGHTS, IL 604112742

    Phone:

    Type: Mailing

  • 4331 LINCOLN HWY

    MATTESON, IL 604432404

    Phone: (708) 755-8030

    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: 2024-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20240819002602OClinic/Group PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 60411)

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Reviews

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Frequently asked questions

What is SERTOMA STAR SERVICES, INC.'s NPI number?
SERTOMA STAR SERVICES, INC.'s NPI is 1629830815 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to SERTOMA STAR SERVICES, INC.?
You should see SERTOMA STAR SERVICES, INC. as active in CMS-hosted NPPES data.
What area of care is associated with SERTOMA STAR SERVICES, INC.?
SERTOMA STAR SERVICES, INC.'s record emphasizes Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
Is SERTOMA STAR SERVICES, INC. associated with Chicago Heights?
Public fields place SERTOMA STAR SERVICES, INC. around Chicago Heights, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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