Organization Active NPI

Citi Adult Worshop

  • Adult Day Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1346688926
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
CITI ADULT WORSHOP
Practice address
6832 W North Ave
Chicago, IL 60707-4430
Phone
(773) 458-4711
Fax
(773) 889-3342
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Mrs. Bianca Smith
Title
Owner
Phone
(773) 458-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

6832 W North Ave
Chicago, IL 60707-4430

Mailing address

6832 W North Ave
Chicago, IL 60707-4430
Phone (773) 458-4711

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1346688926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074430",
            "telephone_number": "773-458-4711",
            "fax_number": "773-889-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "607074430",
            "telephone_number": "773-458-4711",
            "fax_number": "773-889-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITI ADULT WORSHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-458-4711",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "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 Jun 5, 2013; 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.