Active NPI
Foatex Health Cilacare
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Calumet City, IL
National Provider Identifier
1275131419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- FOATEX HEALTH CILACARE
- Practice address
- 823 163Rd St
Calumet City, IL 60409-5915 - Phone
- (773) 556-9600
- Fax
- (708) 326-2121
- NPI assigned
- Oct 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Felix O. Agoye, MPH, PHD
- Title
- President
- Phone
- (773) 556-9600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
823 163Rd St
Calumet City, IL 60409-5915
Mailing address
4219 179TH St
Country Club Hills, IL 60478-4714
Phone (773) 556-9600
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602288000000",
"number": "1275131419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4219 179TH ST",
"city": "COUNTRY CLUB HILLS",
"state": "IL",
"postal_code": "604784714",
"telephone_number": "773-556-9600",
"fax_number": "708-326-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 163RD ST",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604095915",
"telephone_number": "773-556-9600",
"fax_number": "708-326-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOATEX HEALTH CILACARE",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-10",
"last_updated": "2020-10-10",
"certification_date": "2020-10-10",
"status": "A",
"authorized_official_last_name": "AGOYE",
"authorized_official_first_name": "FELIX",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-556-9600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MPH, PHD"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calumet City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.