Active NPI
Hephzibah Children's Association
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Oak Park, IL
National Provider Identifier
1083282586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Association
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Park, IL
- NPI 1881911543
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oak Park, IL
- NPI 1992767602
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.