NPIMap

Organization Active NPI

Kidtracks, Inc.

  • Early Intervention Provider Agency
  • Homer Glen, IL
National Provider Identifier
1568634830
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
KIDTRACKS, INC.
Practice address
14234 S Bell Rd
PMB 143
Homer Glen, IL 60491-8122
Phone
(708) 301-7981
Fax
(708) 301-6765
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Mrs. Sheila M. Newcomb, PTNPI 1588714315
Title
President
Phone
(708) 301-7981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X IL Primary

Addresses

Primary practice location

14234 S Bell Rd
PMB 143
Homer Glen, IL 60491-8122

Mailing address

14234 S Bell Rd
PMB 143
Homer Glen, IL 60491-8122
Phone (708) 301-7981

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1568634830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14234 S BELL RD",
            "address_2": "PMB 143",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918122",
            "telephone_number": "708-301-7981",
            "fax_number": "708-301-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14234 S BELL RD",
            "address_2": "PMB 143",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918122",
            "telephone_number": "708-301-7981",
            "fax_number": "708-301-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDTRACKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-301-7981",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.