Organization Active NPI

K.a.M Alliance, Inc.

  • Case Management Agency
  • Chicago, IL
National Provider Identifier
1477037802
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
K.A.M ALLIANCE, INC.
Practice address
2215 W 95TH St
#100
Chicago, IL 60643-1001
Phone
(773) 239-9600
Fax
(773) 239-9601
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
Ms. Angela J Ratcliffe
Title
Chief Executive Officer
Phone
(773) 239-9600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2215 W 95TH St
#100
Chicago, IL 60643-1001

Mailing address

2215 W 95TH St
#100
Chicago, IL 60643-1001
Phone (773) 239-9600

Other identifiers 3

IdentifierTypeStateIssuer
525579MedicaidIL
007105099MedicaidIL
5255799058MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Kam Alliance Inc5 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.

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1477037802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 W 95TH ST",
            "address_2": "#100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431001",
            "telephone_number": "773-239-9600",
            "fax_number": "773-239-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 W 95TH ST",
            "address_2": "#100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431001",
            "telephone_number": "773-239-9600",
            "fax_number": "773-239-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.A.M ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "RATCLIFFE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "773-239-9600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525579",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007105099",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5255799058",
            "state": "IL"
        }
    ],
    "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 Nov 20, 2018; 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.