Active NPI
New Hope Community Service Center
- Prison Health Clinic/Center
- Chicago, IL
National Provider Identifier
1427779586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prison Health Clinic/Center
- Legal business name
- NEW HOPE COMMUNITY SERVICE CENTER
- Practice address
- 2559 W 79TH St
Chicago, IL 60652-1751 - Phone
- (773) 737-9555
- Fax
- (708) 737-0401
- NPI assigned
- Sep 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Brenda Joyce Golden, LASOP, MHS, CAADC
- Title
- Executive Director
- Phone
- (773) 737-9555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | Primary |
Addresses
Primary practice location
2559 W 79TH St
Chicago, IL 60652-1751
Mailing address
2559 W 79TH St
Chicago, IL 60652-1751
Phone (773) 737-9555
National Provider Directory
National Provider Directory- Tax ID family
- New Hope Community Serv Ctr
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Chicago, IL
- NPI 1023674595
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Justice, IL
- NPI 1063642841
-
- Community/Behavioral Health Agency
- Chicago, IL
- NPI 1356519714
-
- General Practice Physician
- Chicago, IL
- NPI 1447819578
-
- Methadone Clinic
- Chicago, IL
- NPI 1497272884
-
- Non-emergency Medical Transport (VAN)
- Justice, IL
- NPI 1508700345
-
- Doula
- Chicago, IL
- NPI 1710848932
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1861042715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1427779586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2559 W 79TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606521751",
"telephone_number": "773-737-9555",
"fax_number": "708-737-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2559 W 79TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606521751",
"telephone_number": "773-737-9555",
"fax_number": "708-737-0401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HOPE COMMUNITY SERVICE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "GOLDEN",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "JOYCE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "773-737-9555",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LASOP, MHS, CAADC"
},
"taxonomies": [
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- New Heavens Care LLC
- New Heavens Care LLC
- New Hope Community Service
- New Hope Community Service Center
- New Hope Community Service Center
- New Hope Community Service Center
- New Hope Community Service Center
- New Hope Community Service Center
- New Hope Community Service Center
- New Horizon Center for the Developmentally Disabled
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.