Organization Active NPI

Reassemble Education & Training,Inc

  • Case Management Agency
  • Chicago, IL
National Provider Identifier
1336630029
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
REASSEMBLE EDUCATION & TRAINING,INC
Practice address
644 E 79TH St Ste 15
Chicago, IL 60619-3037
Phone
(312) 296-1069
Fax
(773) 633-8910
NPI assigned
May 29, 2018
Last updated
May 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Mrs. Carmen A Meekins
Title
Ceo
Phone
(312) 296-1069

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

644 E 79TH St Ste 15
Chicago, IL 60619-3037

Mailing address

644 E 79TH St Ste 15
Chicago, IL 60619-3037
Phone (312) 296-1069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1336630029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 E 79TH ST STE 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193037",
            "telephone_number": "312-296-1069",
            "fax_number": "773-633-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 E 79TH ST STE 15",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606193037",
            "telephone_number": "312-296-1069",
            "fax_number": "773-633-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REASSEMBLE EDUCATION & TRAINING,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "MEEKINS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-296-1069",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 29, 2018; 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.