NPIMap

Organization Active NPI

Catholic Charities, Diocese of Joliet

  • Foster Care Agency
  • Kankakee, IL
National Provider Identifier
1083932065
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
00397011 Issued in IL
Legal business name
CATHOLIC CHARITIES, DIOCESE OF JOLIET
Practice address
270 N Schuyler Ave
Kankakee, IL 60901-3833
Phone
(815) 933-7791
Fax
(815) 932-3030
NPI assigned
May 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Kathleen McGowan, MSW, LCSW
Title
Executive Director
Phone
(815) 723-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 00397011 IL Primary

Addresses

Primary practice location

270 N Schuyler Ave
Kankakee, IL 60901-3833

Mailing address

203 N Ottawa St
Joliet, IL 60432-4006
Phone (815) 723-3405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428001010 IL Part B Supplier - Clinic/Group Practice 9931196201 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Joliet, IL; Kankakee, IL; Downers Grove, IL

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Diocese of Joliet7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

270 N Schuyler Ave
Kankakee, IL 60901
Phone (815) 933-7791

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1083932065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324006",
            "telephone_number": "815-723-3405",
            "fax_number": "815-723-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N SCHUYLER AVE",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013833",
            "telephone_number": "815-933-7791",
            "fax_number": "815-932-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES, DIOCESE OF JOLIET",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "MCGOWAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-723-3405",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "00397011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.