NPIMap

Organization Active NPI

Outreach Youth & Family Services

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Chicago, IL
National Provider Identifier
1063767010
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
OUTREACH YOUTH & FAMILY SERVICES
Doing business as
Outreach Youth & Family Services
Practice address
9443 S Throop St
Chicago, IL 60620-3625
Phone
(773) 840-4497
Fax
(773) 905-1369
NPI assigned
Jul 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Eddie J. Phillips
Title
President & Executive Director
Phone
(773) 840-4497

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X IL
Child Mental Illness Respite Care 385HR2055X IL
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X IL Primary

Addresses

Primary practice location

9443 S Throop St
Chicago, IL 60620-3625

Mailing address

9443 S Throop St
Chicago, IL 60620-3625
Phone (773) 840-4497

Other names 1

  • Outreach Youth & Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Outreach Youth Family 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.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063767010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9443 S THROOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203625",
            "telephone_number": "773-840-4497",
            "fax_number": "773-905-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9443 S THROOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203625",
            "telephone_number": "773-840-4497",
            "fax_number": "773-905-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-840-4497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Youth & Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.