Caring Assistive Living Management

Key facts

NPI

1508937616

Entity type

Organization (NPI type 2)

Primary specialty

Specialist 174400000X

Legal business name

CARING ASSISTIVE LIVING MANAGEMENT

Practice address

114 Lincoln Mall Dr
Matteson, IL 60443-2331

Phone

(708) 833-8953

Fax

(708) 248-7509

NPI assigned

Nov 11, 2006

Organization subpart

No

Authorized official

Name

Joan Diane Adams-Alsberry, PT

Title

Vice President

Phone

(708) 833-8953

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 22, 2010.

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1508937616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 LINCOLN MALL DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432331",
            "telephone_number": "708-833-8953",
            "fax_number": "708-248-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 LINCOLN MALL DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432331",
            "telephone_number": "708-833-8953",
            "fax_number": "708-248-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING ASSISTIVE LIVING MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS-ALSBERRY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-833-8953",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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