Organization Active NPI

Childrens Magical Hearts LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Chicago, IL
National Provider Identifier
1043072333
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
CHILDRENS MAGICAL HEARTS LLC
Practice address
7332 S Emerald Ave
Chicago, IL 60621-2320
Phone
(177) 388-6896
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Alfredia A EdwardsNPI 1831966506
Title
Home Based Personal Support Agency
Phone
(177) 388-6896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

7332 S Emerald Ave
Chicago, IL 60621-2320

Mailing address

7332 S Emerald Ave
Chicago, IL 60621-2320
Phone (177) 388-6896

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1043072333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7332 S EMERALD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212320",
            "telephone_number": "177-388-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7332 S EMERALD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212320",
            "telephone_number": "177-388-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MAGICAL HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ALFREDIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "HOME BASED PERSONAL SUPPORT AGENCY",
        "authorized_official_telephone_number": "177-388-6896"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 23, 2024; 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.