NPIMap

Organization Active NPI

Edgewater Satellite Senior Center

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1306024559
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EDGEWATER SATELLITE SENIOR CENTER
Practice address
5917 N Broadway St
Chicago, IL 60660-3526
Phone
(312) 742-7502
NPI assigned
Feb 8, 2008
Organization subpart
Yes
Parent organization
CHICAGO DEPARTMENT OF SENIOR SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Joyce Gallagher
Title
Commissioner
Phone
(312) 744-5770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5917 N Broadway St
Chicago, IL 60660-3526

Mailing address

5917 N Broadway St
Chicago, IL 60660-3526
Phone (312) 742-7502

National Provider Directory

National Provider Directory
Tax ID family
Austin Satellite Senior Center63 organizations share this tax ID, including this one
Part of
Austin Satellite Senior Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5917 N Broadway St
Chicago, IL 60660
Phone (312) 742-7502

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1306024559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603526",
            "telephone_number": "312-742-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603526",
            "telephone_number": "312-742-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER SATELLITE SENIOR CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGO DEPARTMENT OF SENIOR SERVICES",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "312-744-5770"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.