Organization Active NPI

Council for Jewish Elderly

Doing business as CJE SeniorLife

  • Adult Day Care Clinic/Center
  • Evanston, IL
National Provider Identifier
1619921566
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
COUNCIL FOR JEWISH ELDERLY
Doing business as
CJE SeniorLife
Practice address
1015 Howard St
Evanston, IL 60202-3823
Phone
(773) 508-1000
Fax
(773) 508-1028
NPI assigned
May 22, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Stacey Lee Turner
Title
Chief Financial Officer
Phone
(773) 508-1075

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X IL Primary
Home Delivered Meals 332U00000X IL
Secured Medical Transport (VAN) 343800000X IL
Non-emergency Medical Transport (VAN) 343900000X IL

Addresses

Primary practice location

1015 Howard St
Evanston, IL 60202-3823

Mailing address

3003 W Touhy Ave
Chicago, IL 60645-2833
Phone (773) 508-1000

Other practice location 1

1551 Lake Cook Rd
Deerfield, IL 60015-5651
Phone (847) 374-0500

Other names 1

  • CJE SeniorLife Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000840 IL Part B Supplier - Clinic/Group Practice 8224932702 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evanston, IL; Palos Park, IL; Des Plaines, IL; Deerfield, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1619921566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W TOUHY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452833",
            "telephone_number": "773-508-1000",
            "fax_number": "773-508-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HOWARD ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023823",
            "telephone_number": "773-508-1000",
            "fax_number": "773-508-1028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Lake Cook Rd",
            "address_purpose": "LOCATION",
            "city": "Deerfield",
            "state": "IL",
            "postal_code": "600155651",
            "country_code": "US",
            "telephone_number": "847-374-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNCIL FOR JEWISH ELDERLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "773-508-1075"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CJE SeniorLife",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CJE SeniorLife",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.