Organization Active NPI

Kaleidoscope Inc.

  • Case Management Agency
  • Blue Island, IL
National Provider Identifier
1134443229
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
011126-13 Issued in IL
Legal business name
KALEIDOSCOPE INC.
Practice address
12940 S. Western Ste 300
Blue Island, IL 60406-1454
Phone
(773) 278-7200
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Mr. Thomas Finnegan
Title
Executive Director
Phone
(773) 278-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 011126-13 IL Primary
Foster Care Agency 253J00000X 011126-13 IL

Addresses

Primary practice location

12940 S. Western Ste 300
Blue Island, IL 60406-1454

Mailing address

1340 S. Damen Avenue Mezzanine
Chicago, IL 60608-1190
Phone (773) 278-7200

National Provider Directory

National Provider Directory
Tax ID family
Kaleidoscope Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

12940 Western Ave
Ste 300
Blue Island, IL 60406
Phone (708) 489-2894

Practitioners & affiliated clinicians

Practitioners 1

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": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1134443229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S. DAMEN AVENUE MEZZANINE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081190",
            "telephone_number": "773-278-7200",
            "fax_number": "773-278-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 S. WESTERN STE 300",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061454",
            "telephone_number": "773-278-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "FINNEGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-278-7200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "011126-13",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "011126-13",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Island, IL

Sources for this page

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