Organization Active NPI

New St Paul Church of God in Christ

  • Adult Day Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1407587124
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
NEW ST PAUL CHURCH OF GOD IN CHRIST
Practice address
2113 W Marquette Rd
Chicago, IL 60636-2537
Phone
(773) 416-1651
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Authorized official

Name
Mr. Rory Hood
Title
Administrator
Phone
(773) 416-1651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2113 W Marquette Rd
Chicago, IL 60636-2537

Mailing address

2113 W Marquette Rd
Chicago, IL 60636-2537
Phone (773) 416-1651

Other names 1

  • New St Paul Adult Day Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1407587124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 W MARQUETTE RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362537",
            "telephone_number": "773-416-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 W MARQUETTE RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362537",
            "telephone_number": "773-416-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ST PAUL CHURCH OF GOD IN CHRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-416-1651",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New St Paul Adult Day Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2022; 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.