NPIMap

Organization Active NPI

Our Children's Homestead

  • Foster Care Agency
  • Naperville, IL
National Provider Identifier
1417386046
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
26699407 Issued in IL
Legal business name
OUR CHILDREN'S HOMESTEAD
Practice address
387 Shuman Blvd
Suite 170E
Naperville, IL 60563-8450
Phone
(630) 369-0004
NPI assigned
Nov 4, 2013
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Marissa Allen
Title
Ceo
Phone
(630) 369-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 26699407 IL Primary

Addresses

Primary practice location

387 Shuman Blvd
Suite 170E
Naperville, IL 60563-8450

Mailing address

387 Shuman Blvd
Suite 170E
Naperville, IL 60563-8450
Phone (630) 369-0004

National Provider Directory

National Provider Directory
Tax ID family
Our Childrens Homestead5 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.

Locations

387 Shuman Blvd
Ste 170E
Naperville, IL 60563
Phone (630) 369-0004

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1417386046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 SHUMAN BLVD",
            "address_2": "SUITE 170E",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638450",
            "telephone_number": "630-369-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 SHUMAN BLVD",
            "address_2": "SUITE 170E",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638450",
            "telephone_number": "630-369-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR CHILDREN'S HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-369-0004"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "26699407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.