NPIMap

Organization Active NPI

Ucp Seguin Greater Chicago

  • Foster Care Agency
  • Tinley Park, IL
National Provider Identifier
1376900571
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
UCP SEGUIN GREATER CHICAGO
Practice address
7550 W. 183Rd
Tinley Park, IL 60477
Phone
(708) 863-3803
NPI assigned
Jan 20, 2016
Organization subpart
Yes
Parent organization
UCP SEGUIN GREATER CHICAGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Donna Robinson
Title
Clinical Services Administrator
Phone
(708) 863-3803

Specialties & licenses 1

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

Addresses

Primary practice location

7550 W. 183Rd
Tinley Park, IL 60477

Mailing address

3100 S. Central Ave.
Ciceto, IL 60804
Phone (708) 863-3803

Other identifiers 1

IdentifierTypeStateIssuer
#2B051P1166MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Seguin Service Inc3 organizations share this tax ID, including this one
Part of
Seguin Service Inc

Other organizations with this tax ID 2

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

Locations

7550 183rd St
Tinley Park, IL 60477
Phone (708) 863-3803

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1376900571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S. CENTRAL AVE.",
            "city": "CICETO",
            "state": "IL",
            "postal_code": "60804",
            "telephone_number": "708-863-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W. 183RD",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-863-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCP SEGUIN GREATER CHICAGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UCP SEGUIN GREATER CHICAGO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CLINICAL SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "708-863-3803"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "#2B051P1166",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.