Organization Active NPI

Shekinah Care Center

  • Community/Behavioral Health Agency
  • Aurora, IL
National Provider Identifier
1568686764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHEKINAH CARE CENTER
Practice address
1029 Kane St
Aurora, IL 60505-3829
Phone
(630) 236-1922
Fax
(630) 898-7175
NPI assigned
Apr 12, 2007
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. Charles R Phillips
Title
Comptroller
Phone
(630) 898-1938

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X IL Primary

Addresses

Primary practice location

1029 Kane St
Aurora, IL 60505-3829

Mailing address

1125 E New York St
Aurora, IL 60505-3815
Phone (630) 898-1938

National Provider Directory

National Provider Directory

Locations

1029 Kane St
Aurora, IL 60505
Phone (630) 236-1922

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568686764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E NEW YORK ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053815",
            "telephone_number": "630-898-1938",
            "fax_number": "630-898-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KANE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605053829",
            "telephone_number": "630-236-1922",
            "fax_number": "630-898-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEKINAH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "630-898-1938",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, 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.