NPIMap

Organization Active NPI

Envision Unlimited

  • Developmentally Disabled Services Day Training Agency
  • Chicago, IL
National Provider Identifier
1356835805
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
ENVISION UNLIMITED
Practice address
4122 N Nashville Ave
Chicago, IL 60634-1429
Phone
(773) 283-5613
NPI assigned
Jun 19, 2018
Organization subpart
Yes
Parent organization
ENVISION UNLIMITEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Linda A Bruggemann, LPC
Title
Billing Coordinator
Phone
(773) 506-3201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

4122 N Nashville Ave
Chicago, IL 60634-1429

Mailing address

5080 N Elston Ave
Chicago, IL 60630-2459
Phone (773) 506-3201

Other names 1

  • Nashville Other name

National Provider Directory

National Provider Directory
Tax ID family
Envision Unlimited Foster Care25 organizations share this tax ID, including this one
Part of
Envision Unlimited Foster Care

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1356835805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302459",
            "telephone_number": "773-506-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 N NASHVILLE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341429",
            "telephone_number": "773-283-5613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION UNLIMITED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENVISION UNLIMITED",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "BRUGGEMANN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "773-506-3201",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nashville",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Nashville",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 19, 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.