Active NPI
Reassemble Education & Training,Inc
- Case Management Agency
- Chicago, IL
National Provider Identifier
1336630029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2018
- 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
- Mrs. Carmen A Meekins
- Title
- Ceo
- Phone
- (312) 296-1069
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.