NPIMap

Organization Active NPI

Caritas

  • Community/Behavioral Health Agency
  • Chicago, IL
National Provider Identifier
1235307158
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C/A-0554-0001-A Issued in IL
Legal business name
CARITAS
Practice address
140 N Ashland Ave
Chicago, IL 60607-1802
Phone
(312) 850-9411
Fax
(312) 850-3288
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Jesseca Watson
Title
Contracts and Credentialing Manager
Phone
(630) 572-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C/A-0554-0001-A IL Primary

Addresses

Primary practice location

140 N Ashland Ave
Chicago, IL 60607-1802

Mailing address

1301 W 22ND St Ste 500
Oak Brook, IL 60523-2014
Phone (630) 572-8228

Other identifiers 1

IdentifierTypeStateIssuer
0001MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Caritas12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1235307158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 22ND ST STE 500",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232014",
            "telephone_number": "630-572-8228",
            "fax_number": "630-572-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071802",
            "telephone_number": "312-850-9411",
            "fax_number": "312-850-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JESSECA",
        "authorized_official_title_or_position": "CONTRACTS AND CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "630-572-8228"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "C/A-0554-0001-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001",
            "state": "IL"
        }
    ],
    "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 Jul 21, 2020; 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.