Organization Active NPI

One Hope United

  • Foster Care Agency
  • Waukegan, IL
National Provider Identifier
1265767214
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
370697157003 Issued in IL
Legal business name
ONE HOPE UNITED
Practice address
2115 S Ernie Krueger Cir
Waukegan, IL 60087-4156
Phone
(847) 245-6800
NPI assigned
Oct 8, 2009
Last updated
Aug 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Authorized official

Name
Mrs. Elizabeth Hopkins
Title
Cqir Medicaid Coordinator
Phone
(847) 245-6556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 370697157003 IL Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

2115 S Ernie Krueger Cir
Waukegan, IL 60087-4156

Mailing address

333 S. Wabash Ave
Suite 2750
Chicago, IL 60604-4156
Phone (312) 949-5631

Other identifiers 1

IdentifierTypeStateIssuer
2A00-IPI-004MedicaidIL

Other names 1

  • One Hope United Northern Region Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
One Hope United28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

2115 S Ernie Krueger Cir
Waukegan, IL 60087
Phone (847) 245-6800

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1265767214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S. WABASH AVE",
            "address_2": "SUITE 2750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044156",
            "telephone_number": "312-949-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S ERNIE KRUEGER CIR",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600874156",
            "telephone_number": "847-245-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HOPE UNITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CQIR MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "847-245-6556",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "370697157003",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2A00-IPI-004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Hope United Northern Region",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.