Organization Active NPI

New Direction Outreach

  • Mental Illness Community Based Residential Treatment Facility
  • Chicago, IL
National Provider Identifier
1477508265
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
NEW DIRECTION OUTREACH
Practice address
6857 S State St
Chicago, IL 60637-3910
Phone
(773) 483-2226
Fax
(773) 224-8201
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen Jerome Laflora, M.S.
Title
Executive Director
Phone
(773) 483-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

6857 S State St
Chicago, IL 60637-3910

Mailing address

6857 S State St
Chicago, IL 60637-3910
Phone (773) 483-2226

Other identifiers 1

IdentifierTypeStateIssuer
2B05-CHR-096MedicaidIL

National Provider Directory

National Provider Directory

Locations

6857 S State St
Chicago, IL 60637
Phone (773) 483-2226

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477508265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6857 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606373910",
            "telephone_number": "773-483-2226",
            "fax_number": "773-224-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6857 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606373910",
            "telephone_number": "773-483-2226",
            "fax_number": "773-224-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTION OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAFLORA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-483-2226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2B05-CHR-096",
            "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 Aug 22, 2020; 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.