NPIMap

Organization Active NPI

Lawrence Hall Youth Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chicago, IL
National Provider Identifier
1437400421
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
12057909 Issued in IL
Legal business name
LAWRENCE HALL YOUTH SERVICES
Practice address
6621 N Ashland Ave
Chicago, IL 60626-4106
Phone
(773) 728-2807
Fax
(773) 728-0751
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Mark Nufer
Title
Chief Financial Officer
Phone
(773) 728-2807

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 12057909 IL
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 12057909 IL Primary

Addresses

Primary practice location

6621 N Ashland Ave
Chicago, IL 60626-4106

Mailing address

2737 W Peterson Ave
Chicago, IL 60659-3927
Phone (773) 728-2807

National Provider Directory

National Provider Directory
Tax ID family
Lawrence Hall Youth Services15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1437400421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593927",
            "telephone_number": "773-728-2807",
            "fax_number": "773-728-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264106",
            "telephone_number": "773-728-2807",
            "fax_number": "773-728-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE HALL YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "NUFER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "773-728-2807"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "12057909",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "12057909",
            "primary": true
        }
    ],
    "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 Oct 1, 2012; 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.