NPIMap

Organization Active NPI

Madison County Catholic Charities

  • Foster Care Agency
  • Alton, IL
National Provider Identifier
1346565496
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
003973 Issued in IL
Legal business name
MADISON COUNTY CATHOLIC CHARITIES
Practice address
3512 McArthur Blvd
Alton, IL 62002-5511
Phone
(618) 462-0634
Fax
(618) 462-3209
NPI assigned
Apr 1, 2010
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES DIOCESE OF SPRINGFIELD IN ILLINOISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Authorized official

Name
Steve Roach
Title
Executive Director
Phone
(217) 523-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 003973 IL Primary

Addresses

Primary practice location

3512 McArthur Blvd
Alton, IL 62002-5511

Mailing address

1625 W Washington St
Springfield, IL 62702-4757
Phone (217) 523-9201

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities12 organizations share this tax ID, including this one
Part of
Catholic Charities

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3512 McArthur Blvd
Alton, IL 62002
Phone (618) 462-0634

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1346565496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W WASHINGTON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024757",
            "telephone_number": "217-523-9201",
            "fax_number": "217-523-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 MCARTHUR BLVD",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025511",
            "telephone_number": "618-462-0634",
            "fax_number": "618-462-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY CATHOLIC CHARITIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES DIOCESE OF SPRINGFIELD IN ILLINOIS",
        "enumeration_date": "2010-04-01",
        "last_updated": "2021-06-23",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "217-523-9201"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "003973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.