NPIMap

Organization Active NPI

Catholic Social Services Carbondale

  • Foster Care Agency
  • Carbondale, IL
National Provider Identifier
1104156439
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
003967-11 Issued in IL
Legal business name
CATHOLIC SOCIAL SERVICES CARBONDALE
Practice address
214 S University Ave
Carbondale, IL 62901-2925
Phone
(618) 351-0743
Fax
(618) 351-0945
NPI assigned
Jan 8, 2010
Last updated
Jan 8, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC SOCIAL SERVICES OF SOUTHERN ILLINOISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Mr. Gary B Schmitt, MBA
Title
Finance Director
Phone
(618) 688-1127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 003967-11 IL Primary

Addresses

Primary practice location

214 S University Ave
Carbondale, IL 62901-2925

Mailing address

214 S University Ave
Carbondale, IL 62901-2925
Phone (618) 351-0743

National Provider Directory

National Provider Directory
Tax ID family
Catholic Social Services Mt Vernon24 organizations share this tax ID, including this one
Part of
Catholic Social Services Mt Vernon

Other organizations with this tax ID 23

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

View all 23

Locations

214 S University Ave
Carbondale, IL 62901
Phone (618) 351-0743

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1104156439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S UNIVERSITY AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012925",
            "telephone_number": "618-351-0743",
            "fax_number": "618-351-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S UNIVERSITY AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012925",
            "telephone_number": "618-351-0743",
            "fax_number": "618-351-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC SOCIAL SERVICES CARBONDALE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC SOCIAL SERVICES OF SOUTHERN ILLINOIS",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "SCHMITT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "618-688-1127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "003967-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.