Active NPI
Senior Health Information Network
- Religious Nonmedical Health Care Institution
- Chicago, IL
National Provider Identifier
1386153583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Health Care Institution
- Legal business name
- SENIOR HEALTH INFORMATION NETWORK
- Practice address
- 5757 N Lincoln Ave Ste 15
Chicago, IL 60659-4729 - Phone
- (612) 306-4843
- NPI assigned
- Sep 20, 2017
- 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
- Mary Louise Gaines
- Title
- President
- Phone
- (612) 306-4843
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Early Intervention Provider Agency | 252Y00000X | IL | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | |||
| Religious Nonmedical Health Care Institution | 282J00000X | IL | Primary | |
| Exclusive Provider Organization | 302F00000X | |||
| Assisted Living Facility | 310400000X | IL |
Addresses
Primary practice location
5757 N Lincoln Ave Ste 15
Chicago, IL 60659-4729
Mailing address
5757 N Lincoln Ave Ste 15
Chicago, IL 60659-4729
Phone (877) 981-6500
Other practice location 1
7226 Roosevelt Cir
Merrillville, IN 46410-3776
Phone (219) 455-1729
Other practice location 2
2945 44th Ave S Ste 4
Minneapolis, MN 55406-1826
Phone (612) 306-4843
Other practice location 3
7244 Roosevelt Cir
Merrillville, IN 46410
Phone (773) 944-0534
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Religious Nonmedical Health Care Institution
- Desoto, TX
- NPI 1538678651
Member Of
Locations
5757 N Lincoln Ave
Ste 15
Chicago, IL 60659
Phone (612) 306-4843
2945 44th Ave S
Ste 4
Minneapolis, MN 55406
Phone (612) 306-4843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1386153583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 N LINCOLN AVE STE 15",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594729",
"telephone_number": "877-981-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 N LINCOLN AVE STE 15",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606594729",
"telephone_number": "612-306-4843"
}
],
"practiceLocations": [
{
"address_1": "7226 Roosevelt Cir",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464103776",
"country_code": "US",
"telephone_number": "219-455-1729",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2945 44th Ave S Ste 4",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554061826",
"country_code": "US",
"telephone_number": "612-306-4843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7244 Roosevelt Cir",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "46410",
"country_code": "US",
"telephone_number": "773-944-0534",
"fax_number": "773-944-0516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SENIOR HEALTH INFORMATION NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-20",
"last_updated": "2021-06-01",
"certification_date": "2021-05-05",
"status": "A",
"authorized_official_last_name": "GAINES",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "612-306-4843"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "282J00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Health Care Institution",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "IL",
"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 Jun 1, 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.