Autism Hope Support

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

103K00000X Issued in IL

Legal business name

AUTISM HOPE SUPPORT

Practice address

815 Seward Apt. 1S
Evanston, IL 60202

Phone

(816) 607-1097

NPI assigned

Apr 18, 2016

Organization subpart

No

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

Authorized official

Name

Tanisha Woods

Title

Behavior Analyst

Phone

(816) 607-1097

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1013361948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 SEWARD ST APT 1S",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022894",
            "telephone_number": "816-607-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SEWARD APT. 1S",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60202",
            "telephone_number": "816-607-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM HOPE SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "816-607-1097"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex John Auseon, DO
• Austin Anesthesia LLC
• Austin Street Pediatrics, LLC
• Candace Francene Austin, M.ED
• Jade Marie Austin, MA
• Autism Services of the North Shore, Inc.
• Jennifer Aversano, APRN
• Brittany Avery, APN-CRNA
• Amy J. Avila, APN-CRNA
• Myrna Avila

• In Home Supportive Care Agency in Evanston, IL
• Providers in Evanston, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.