Standing in the Gap Incorporated

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

STANDING IN THE GAP INCORPORATED

Practice address

304 New Salem St
Park Forest, IL 60466-1137

Phone

(708) 209-7640

Fax

(708) 481-0816

NPI assigned

Nov 5, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Shante Jones, MSW

Title

Chief Executive Officer

Phone

(708) 209-7640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1285030106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 NEW SALEM ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661137",
            "telephone_number": "708-209-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NEW SALEM ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661137",
            "telephone_number": "708-209-7640",
            "fax_number": "708-481-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDING IN THE GAP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "708-209-7640",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.