NPIMap

Organization Active NPI

New Hope Community Service Center

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1023674595
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NEW HOPE COMMUNITY SERVICE CENTER
Practice address
2559 W 79TH St
Chicago, IL 60652-1751
Phone
(773) 737-9555
Fax
(773) 737-0401
NPI assigned
May 10, 2019
Last updated
May 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Claudia M Bodley
Title
Medical Billing Office Maanager
Phone
(773) 737-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2559 W 79TH St
Chicago, IL 60652-1751

Mailing address

2559 W 79TH St
Chicago, IL 60652-1751
Phone (773) 737-9555

Other identifiers 1

IdentifierTypeStateIssuer
0001356519714MedicaidIL

Other names 1

  • New Hope Community Service Center HEP Program Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address c.bodley@NHCSC.org Direct

National Provider Directory

National Provider Directory
Tax ID family
New Hope Community Serv Ctr9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2559 W 79th St
Chicago, IL 60652
Phone (773) 737-9555

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1023674595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521751",
            "telephone_number": "773-737-9555",
            "fax_number": "773-737-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 W 79TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606521751",
            "telephone_number": "773-737-9555",
            "fax_number": "773-737-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HOPE COMMUNITY SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "BODLEY",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL BILLING OFFICE MAANAGER",
        "authorized_official_telephone_number": "773-737-9555"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001356519714",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "c.bodley@NHCSC.org",
            "affiliation": "N",
            "endpointDescription": "Medical Billing Office Manager",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2559 W 79th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606521751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "New Hope Community Service Center HEP Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

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