Casa Central Social Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CASA CENTRAL SOCIAL SERVICES

Practice address

1335 North California Avenue
Chicago, IL 60622

Phone

(773) 645-2376

Fax

(773) 276-2269

NPI assigned

Jan 17, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Martin R. Castro

Title

Interim President & Ceo

Phone

(773) 645-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Casa Central Social Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Casa Central

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1053742445
  NPD tax ID
• Casa Central Social Services

  • Voluntary or Charitable Agency
  • Chicago, IL
  • NPI 1831430156
  NPD tax ID

Locations

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1023430543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222803",
            "telephone_number": "773-645-2300",
            "fax_number": "773-645-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 NORTH CALIFORNIA AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-645-2376",
            "fax_number": "773-276-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA CENTRAL SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "INTERIM PRESIDENT & CEO",
        "authorized_official_telephone_number": "773-645-2300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2A00-IPI-182",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carver Military Academy
• Leslee R Carver, RD, LDN
• Marisa Faith Carver, RDN
• Caryn Orlin-Kraff, M.D.,LTD.
• Casa Central
• Casa Central Social Services
• Casa Soluna LLC
• Elizabeth Casabal, APRN, FNP-BC
• Elizabeth Casaclang-Melo, MA, LPC, CADC
• Brian Casaclang, D.O.

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.