NPIMap

Organization Active NPI

Center for Seniors

  • Adult Day Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1407105208
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
ADS 1012011 Issued in IL
Legal business name
CENTER FOR SENIORS
Practice address
5320 N. Kedzie Ave
Chicago, IL 60625-4712
Phone
(773) 478-1245
Fax
(773) 478-4070
NPI assigned
Sep 7, 2012
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Jae Kwan Ha
Title
Executive Director
Phone
(773) 478-1245

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X ADS 1013007 IL
Adult Day Care Clinic/Center 261QA0600X ADS1313002 IL
Adult Day Care Clinic/Center 261QA0600X ADS 1012011 IL Primary

Addresses

Primary practice location

5320 N. Kedzie Ave
Chicago, IL 60625-4712

Mailing address

5320 N. Kedzie Ave
Chicago, IL 60625-4712
Phone (773) 478-1245

National Provider Directory

National Provider Directory
Tax ID family
Center for Seniors4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5320 N Kedzie Ave
Chicago, IL 60625
Phone (773) 478-1245

Practitioners & affiliated clinicians

Practitioners 1

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": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1407105208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 N. KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254712",
            "telephone_number": "773-478-1245",
            "fax_number": "773-478-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 N. KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254712",
            "telephone_number": "773-478-1245",
            "fax_number": "773-478-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SENIORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "JAE KWAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-478-1245"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IL",
            "license": "ADS 1013007",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IL",
            "license": "ADS1313002",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IL",
            "license": "ADS 1012011",
            "primary": true
        }
    ],
    "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 Apr 25, 2013; 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.