Organization Active NPI

Senior Health Information Network

  • Religious Nonmedical Health Care Institution
  • Chicago, IL
National Provider Identifier
1386153583
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X
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

Updated by the provider on Jun 1, 2021

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)CodeLicenseStatePrimary
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 Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

Verify at the official NPI Registry.