NPIMap

Organization Active NPI

Esperanza Community Services

  • Developmentally Disabled Services Day Training Agency
  • Chicago, IL
National Provider Identifier
1407212004
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
11519395 Issued in IL
Legal business name
ESPERANZA COMMUNITY SERVICES
Practice address
520 N Marshfield Ave
Chicago, IL 60622-6731
Phone
(312) 243-6097
Fax
(312) 243-2076
NPI assigned
Jan 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Ms. Jayne M Drew
Title
Chief Executive Officer
Phone
(312) 243-6097

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X 11519395 IL Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

520 N Marshfield Ave
Chicago, IL 60622-6731

Mailing address

520 N Marshfield Ave
Chicago, IL 60622-6731
Phone (312) 243-6097

National Provider Directory

National Provider Directory
Tax ID family
Esperanza Community Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1407212004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MARSHFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226731",
            "telephone_number": "312-243-6097",
            "fax_number": "312-243-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MARSHFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226731",
            "telephone_number": "312-243-6097",
            "fax_number": "312-243-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPERANZA COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "DREW",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "312-243-6097",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "11519395",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "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 23, 2023; 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.