Organization Active NPI

Ford Heights School District #169

  • Local Education Agency (LEA)
  • Ford Heights, IL
National Provider Identifier
1003017062
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
FORD HEIGHTS SCHOOL DISTRICT #169
Practice address
910 Woodlawn Ave
Ford Heights, IL 60411-2299
Phone
(708) 758-1370
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory Jackson
Title
Superintendent
Phone
(708) 758-1370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

910 Woodlawn Ave
Ford Heights, IL 60411-2299

Mailing address

910 Woodlawn Ave
Ford Heights, IL 60411-2299

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2215343Ford Heights School District 169910 Woodlawn Avenue, Ford Heights, IL 60411Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory

Locations

910 Woodlawn Ave
Ford Heights, IL 60411
Phone (708) 758-1370

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003017062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 WOODLAWN AVE",
            "city": "FORD HEIGHTS",
            "state": "IL",
            "postal_code": "604112299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 WOODLAWN AVE",
            "city": "FORD HEIGHTS",
            "state": "IL",
            "postal_code": "604112299",
            "telephone_number": "708-758-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD HEIGHTS SCHOOL DISTRICT #169",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "708-758-1370"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ford Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.