Key to Hope

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEY TO HOPE

Practice address

1593 Green Bay Rd
Highland Park, IL 60035-3601

Phone

(312) 218-2671

NPI assigned

Mar 31, 2013

Last updated

Mar 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Jordain Jackson

Title

ABA Line Therapist

Phone

(312) 218-2671

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364688000000",
    "number": "1205179082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 GREEN BAY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353601",
            "telephone_number": "312-218-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 GREEN BAY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353601",
            "telephone_number": "312-218-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY TO HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-31",
        "last_updated": "2013-03-31",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JORDAIN",
        "authorized_official_title_or_position": "ABA LINE THERAPIST",
        "authorized_official_telephone_number": "312-218-2671"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2013; 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.