Organization Active NPI

Random Act of Kindness Developmental Agency Inc.

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1629522842
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
RANDOM ACT OF KINDNESS DEVELOPMENTAL AGENCY INC.
Practice address
11346 S Parnell Ave
Chicago, IL 60628-4721
Phone
(773) 701-6681
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Mrs. Camiko Smith, BA
Title
Executive Director
Phone
(773) 701-6681

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X IL
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

11346 S Parnell Ave
Chicago, IL 60628-4721

Mailing address

11346 S Parnell Ave
Chicago, IL 60628-4721
Phone (773) 701-6681

National Provider Directory

National Provider Directory
Tax ID family
Rakda2 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.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1629522842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11346 S PARNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284721",
            "telephone_number": "773-701-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11346 S PARNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284721",
            "telephone_number": "773-701-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOM ACT OF KINDNESS DEVELOPMENTAL AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAMIKO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-701-6681",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 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.