Organization Active NPI

Care Addiction Treatment Program

  • Substance Abuse Rehabilitation Facility
  • Geneva, IL
National Provider Identifier
1255483533
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
A41830001A Issued in IL
Legal business name
CARE ADDICTION TREATMENT PROGRAM
Practice address
309 Hamilton St
Suite B
Geneva, IL 60134-2181
Phone
(630) 402-0144
Fax
(773) 442-0421
NPI assigned
Jan 17, 2007
Last updated
Aug 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Mr. Greg Simpson, LCSW
Title
Clinical Director
Phone
(773) 883-3906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X A41830001A IL Primary

Addresses

Primary practice location

309 Hamilton St
Suite B
Geneva, IL 60134-2181

Mailing address

309 Hamilton St
Suite B
Geneva, IL 60134-2181
Phone (630) 402-0144

National Provider Directory

National Provider Directory

Locations

309 Hamilton St
Ste B
Geneva, IL 60134
Phone (630) 402-0144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1255483533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HAMILTON ST",
            "address_2": "SUITE B",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342181",
            "telephone_number": "630-402-0144",
            "fax_number": "773-442-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HAMILTON ST",
            "address_2": "SUITE B",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342181",
            "telephone_number": "630-402-0144",
            "fax_number": "773-442-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE ADDICTION TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "773-883-3906",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "IL",
            "license": "A41830001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.