NPIMap

Organization Active NPI

Easter Seals Joliet Region

  • In Home Supportive Care Agency
  • Joliet, IL
National Provider Identifier
1609223668
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EASTER SEALS JOLIET REGION
Practice address
212 Barney Dr
Joliet, IL 60435-5271
Phone
(815) 725-2194
Fax
(815) 725-5150
NPI assigned
May 19, 2016
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
David Gardner
Title
Cfo
Phone
(815) 927-5451

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Developmental Disabilities Clinic/Center 261QD1600X 199100088C IL
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

212 Barney Dr
Joliet, IL 60435-5271

Mailing address

212 Barney Dr
Joliet, IL 60435-5271
Phone (815) 725-2194

National Provider Directory

National Provider Directory
Tax ID family
Easter Seal Rehabilitation Center of Will-Grundy Counties Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

212 Barney Dr
Joliet, IL 60435
Phone (815) 725-2194

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1609223668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BARNEY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355271",
            "telephone_number": "815-725-2194",
            "fax_number": "815-725-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BARNEY DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355271",
            "telephone_number": "815-725-2194",
            "fax_number": "815-725-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS JOLIET REGION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-927-5451"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "IL",
            "license": "199100088C",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.