NPIMap

Organization Active NPI

Guardian Angel Community Services

  • Foster Care Agency
  • Joliet, IL
National Provider Identifier
1396149712
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
032673-12 Issued in IL
Legal business name
GUARDIAN ANGEL COMMUNITY SERVICES
Practice address
168 N Ottawa St
Joliet, IL 60432-4142
Phone
(815) 729-0930
Fax
(815) 744-6087
NPI assigned
Oct 14, 2014
Last updated
Oct 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Ines Kutlesa, LCPC
Title
Chief Executive Officer
Phone
(815) 729-0930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 032673-12 IL Primary

Addresses

Primary practice location

168 N Ottawa St
Joliet, IL 60432-4142

Mailing address

168 N Ottawa St
Joliet, IL 60432-4142
Phone (815) 729-0930

National Provider Directory

National Provider Directory
Tax ID family
Guardian Angel Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

168 N Ottawa St
Joliet, IL 60432
Phone (815) 729-0930

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1396149712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324142",
            "telephone_number": "815-729-0930",
            "fax_number": "815-744-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N OTTAWA ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604324142",
            "telephone_number": "815-729-0930",
            "fax_number": "815-744-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "KUTLESA",
        "authorized_official_first_name": "INES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "815-729-0930",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "032673-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.