Active NPI
Council for Jewish Elderly
Doing business as CJE SeniorLife
- Adult Day Care Clinic/Center
- Evanston, IL
National Provider Identifier
1619921566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba CJE SeniorLife
- Rehabilitation Clinic/Center
- Deerfield, IL
- NPI 1467012807
O20031125000840
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Occupational Therapist
- Skokie, IL
- NPI 1386053478
-
- Physical Therapist
- Buffalo Grove, IL
- NPI 1447488481
-
- Occupational Therapist
- Niles, IL
- NPI 1851722789
-
- Occupational Therapist
- Northbrook, IL
- NPI 1639854961
-
- Speech-Language Pathologist
- Chicago, IL
- NPI 1982056677
-
- Physical Therapist
- Wheeling, IL
- NPI 1134890171
-
- Physical Rehabilitation Occupational Therapist
- Highwood, IL
- NPI 1114753365
-
- Speech-Language Pathologist
- Deerfield, IL
- NPI 1386468346
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.