Organization Active NPI

Garfield Ridge Satellite Senior Center

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1063680718
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GARFIELD RIDGE SATELLITE SENIOR CENTER
Practice address
5672 Archer Ave S
Chicago, IL 60638
Phone
(312) 744-4016
NPI assigned
Feb 15, 2008
Last updated
Feb 15, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CHICAGO DEPARTMENT OF SENIOR SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Joyce Gallagher
Title
Commissioner
Phone
(312) 744-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5672 Archer Ave S
Chicago, IL 60638

Mailing address

5672 Archer Ave S
Chicago, IL 60638
Phone (312) 744-4016

National Provider Directory

National Provider Directory
Tax ID family
Chicago Dept of Health63 organizations share this tax ID, including this one
Part of
Chicago Dept of Health

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

5672 S Archer Ave
Chicago, IL 60638
Phone (312) 744-4016

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1063680718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5672 ARCHER AVE S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60638",
            "telephone_number": "312-744-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5672 ARCHER AVE S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60638",
            "telephone_number": "312-744-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD RIDGE SATELLITE SENIOR CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO DEPARTMENT OF SENIOR SERVICES",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "312-744-5770"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Feb 15, 2008; 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.