Organization Active NPI

Little Angels, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Elgin, IL
National Provider Identifier
1407980709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0010918 Issued in IL
Legal business name
LITTLE ANGELS, INC.
Practice address
1435 Summit Street
Elgin, IL 60120-9218
Phone
(847) 741-1609
Fax
(847) 622-5523
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Shelley Carol Lewis, R.N., LNHA
Title
Administrator
Phone
(847) 741-1609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0010918 IL Primary

Addresses

Primary practice location

1435 Summit Street
Elgin, IL 60120-9218

Mailing address

1435 Summit Street
Elgin, IL 60120-9218
Phone (847) 741-1609

Other identifiers 1

IdentifierTypeStateIssuer
14G247MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407980709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 SUMMIT STREET",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601209218",
            "telephone_number": "847-741-1609",
            "fax_number": "847-622-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 SUMMIT STREET",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601209218",
            "telephone_number": "847-741-1609",
            "fax_number": "847-622-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGELS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-741-1609",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N., LNHA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0010918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14G247",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.