Organization Active NPI

Foatex Health Cilacare

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Calumet City, IL
National Provider Identifier
1275131419
Registry record updated Oct 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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

Updated by the provider on Oct 10, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.