Childrens Mansion Corp

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CHILDRENS MANSION CORP

Practice address

430 E 162ND St Ste 430
South Holland, IL 60473-2258

Phone

(800) 430-8150

Fax

(800) 430-8150

NPI assigned

Nov 3, 2008

Last updated

Nov 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rolanda Montez Smith

Title

President

Phone

(800) 430-8150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1073766192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST STE 430",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "800-430-8150",
            "fax_number": "800-430-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST STE 430",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "800-430-8150",
            "fax_number": "800-430-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MANSION CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROLANDA",
        "authorized_official_middle_name": "MONTEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-430-8150"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Matt Chelich LTD
• Edwige Charles
• Charles Matthew Chelich, D.O.
• Chicagoland Infectious Disease PC
• Froncell Childred Kirkling, LCSW MPH
• Chirospaaah
• Christian Community Health Center
• Christian Community Home Health Professionals, LLC
• Laura Clark, PHARMD.
• Renee Cobb-Dishman, SOCIAL WORKER

• Early Intervention Provider Agency in South Holland, IL
• Providers in South Holland, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.