NPIMap

Organization Active NPI

La Rabida Children'S Hospital

  • Case Management Agency
  • Chicago, IL
National Provider Identifier
1114492055
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LA RABIDA CHILDREN'S HOSPITAL
Practice address
6501 S Promontory Dr
Chicago, IL 60649-1003
Phone
(773) 363-6700
Fax
(773) 363-6315
NPI assigned
Oct 8, 2018
Organization subpart
Yes
Parent organization
LA RABIDA CHILDREN'S HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Mr. Mark Renfree
Title
Cfo / VP Administration
Phone
(773) 753-8630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

6501 S Promontory Dr
Chicago, IL 60649-1003

Mailing address

6501 S Promontory Dr
Chicago, IL 60649-1003
Phone (773) 363-6700

National Provider Directory

National Provider Directory
Tax ID family
Larabida Children'S Hospital11 organizations share this tax ID, including this one
Part of
Larabida Children'S Hospital

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1114492055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 S PROMONTORY DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491003",
            "telephone_number": "773-363-6700",
            "fax_number": "773-363-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 S PROMONTORY DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491003",
            "telephone_number": "773-363-6700",
            "fax_number": "773-363-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA RABIDA CHILDREN'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LA RABIDA CHILDREN'S HOSPITAL",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "RENFREE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO / VP ADMINISTRATION",
        "authorized_official_telephone_number": "773-753-8630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.