Organization Active NPI

Seasons Community Outreach Services NFP

  • In Home Supportive Care Agency
  • Markham, IL
National Provider Identifier
1467083147
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SEASONS COMMUNITY OUTREACH SERVICES NFP
Practice address
2959 W 159TH St Ste E
Markham, IL 60428-4062
Phone
(708) 331-8875
NPI assigned
Jan 30, 2020
Last updated
Jan 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Authorized official

Name
Faye Dodson
Title
Executive Director
Phone
(708) 331-8875

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary
Clinic/Center 261Q00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

2959 W 159TH St Ste E
Markham, IL 60428-4062

Mailing address

16148 Kedzie Ave
Markham, IL 60428-4603
Phone (708) 331-8875

Other practice location 1

16148 Kedzie Ave
Markham, IL 60428-4603
Phone (708) 331-8875

National Provider Directory

National Provider Directory

Locations

2959 W 159th St
Ste E
Markham, IL 60428
Phone (708) 331-8875

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1467083147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16148 KEDZIE AVE",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604284603",
            "telephone_number": "708-331-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 W 159TH ST STE E",
            "city": "MARKHAM",
            "state": "IL",
            "postal_code": "604284062",
            "telephone_number": "708-331-8875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16148 Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Markham",
            "state": "IL",
            "postal_code": "604284603",
            "country_code": "US",
            "telephone_number": "708-331-8875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEASONS COMMUNITY OUTREACH SERVICES NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-331-8875"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Markham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.