Organization Active NPI

Hephzibah Children's Association

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Oak Park, IL
National Provider Identifier
1083282586
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
HEPHZIBAH CHILDREN'S ASSOCIATION
Practice address
946 North Blvd
Oak Park, IL 60301-1205
Phone
(708) 649-7100
Fax
(708) 649-7102
NPI assigned
Jun 12, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Mary K Tortorici
Title
Director of Finance
Phone
(708) 649-7140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

946 North Blvd
Oak Park, IL 60301-1205

Mailing address

1144 Lake St FL 5
Oak Park, IL 60301-6706
Phone (708) 649-7140

National Provider Directory

National Provider Directory
Tax ID family
Hephzibah Children's Association3 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.

Locations

946 North Blvd
Oak Park, IL 60301
Phone (708) 649-7100

NPI Registry JSON

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

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1083282586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 LAKE ST FL 5",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603016706",
            "telephone_number": "708-649-7140",
            "fax_number": "708-649-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 NORTH BLVD",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011205",
            "telephone_number": "708-649-7100",
            "fax_number": "708-649-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEPHZIBAH CHILDREN'S ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "TORTORICI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "708-649-7140"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.