NPIMap

Organization Active NPI

Family Service & MHC of Cicero at Cicero Health Dept

  • Community/Behavioral Health Agency
  • Cicero, IL
National Provider Identifier
1700135266
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICE & MHC OF CICERO AT CICERO HEALTH DEPT
Practice address
2250 S 49TH Ave
Cicero, IL 60804-2460
Phone
(708) 656-3600
NPI assigned
Aug 30, 2012
Last updated
Dec 7, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICEROAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Authorized official

Name
Lorena Navarrete
Title
Office Manager
Phone
(708) 656-6430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2250 S 49TH Ave
Cicero, IL 60804-2460

Mailing address

5341 W Cermak Rd
Cicero, IL 60804-2817
Phone (708) 656-6430

National Provider Directory

National Provider Directory
Tax ID family
Family SVC Mental Health3 organizations share this tax ID, including this one
Part of
Family SVC Mental Health

Other organizations with this tax ID 2

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": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1700135266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042817",
            "telephone_number": "708-656-6430",
            "fax_number": "708-656-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S 49TH AVE",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042460",
            "telephone_number": "708-656-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE & MHC OF CICERO AT CICERO HEALTH DEPT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY SERVICE AND MENTAL HEALTH CENTER OF CICERO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "NAVARRETE",
        "authorized_official_first_name": "LORENA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-656-6430"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.