NPIMap

Organization Active NPI

Little Company of Mary Hospital Inc

  • Psychiatric Hospital Unit
  • Evergreen Park, IL
National Provider Identifier
1689738957
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
1744976 Issued in IL
Legal business name
LITTLE COMPANY OF MARY HOSPITAL INC
Practice address
2800 W 95TH St
Evergreen Park, IL 60805-2701
Phone
(708) 422-6200
Fax
(708) 499-8510
NPI assigned
Dec 21, 2006
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
LITTLE COMPANY OF MARY HOSPITAL AND HEALTH CARE CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Mrs. Candace Ann Baker
Title
Manager Business Office
Phone
(708) 229-5126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 1744976 IL Primary

Addresses

Primary practice location

2800 W 95TH St
Evergreen Park, IL 60805-2701

Mailing address

2800 W 95TH St
Evergreen Park, IL 60805-2701
Phone (708) 422-6200

National Provider Directory

National Provider Directory
Part of
Mobile Medical

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1689738957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052701",
            "telephone_number": "708-422-6200",
            "fax_number": "708-499-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052701",
            "telephone_number": "708-422-6200",
            "fax_number": "708-499-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE COMPANY OF MARY HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LITTLE COMPANY OF MARY HOSPITAL AND HEALTH CARE CENTERS",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER BUSINESS OFFICE",
        "authorized_official_telephone_number": "708-229-5126",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "1744976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.