Organization Active NPI

Irving Urban Development

Doing business as heart and soul house

  • Home Health Agency
  • Chicago, IL
National Provider Identifier
1588094502
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IRVING URBAN DEVELOPMENT
Doing business as
heart and soul house
Practice address
739 N Austin Blvd # 3
Chicago, IL 60644-1004
Phone
(773) 969-8945
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Cicely Gardner
Title
President
Phone
(773) 557-9492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

739 N Austin Blvd # 3
Chicago, IL 60644-1004

Mailing address

739 N Austin Blvd # 3
Chicago, IL 60644-1004
Phone (773) 969-8945

Other names 1

  • heart and soul house Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1588094502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 N AUSTIN BLVD # 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441004",
            "telephone_number": "773-969-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 N AUSTIN BLVD # 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606441004",
            "telephone_number": "773-969-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING URBAN DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CICELY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-557-9492"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "heart and soul house",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2013; 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.