Organization Active NPI

Churchview Supportive Living Preservation LP

  • Assisted Living Facility
  • Chicago, IL
National Provider Identifier
1700593571
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHURCHVIEW SUPPORTIVE LIVING PRESERVATION LP
Practice address
2626 W 63Rd St
Chicago, IL 60629-1655
Phone
(773) 362-3373
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Christine James
Title
Director
Phone
(773) 362-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2626 W 63Rd St
Chicago, IL 60629-1655

Mailing address

2626 W 63Rd St
Chicago, IL 60629-1655
Phone (773) 471-4444

Other names 2

  • Churchview Supportive Living LP Former legal business name
  • Greater Southwest Development Corporation Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1700593571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291655",
            "telephone_number": "773-471-4444",
            "fax_number": "773-471-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291655",
            "telephone_number": "773-362-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCHVIEW SUPPORTIVE LIVING PRESERVATION LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-362-3373"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Churchview Supportive Living LP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Greater Southwest Development Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 1, 2022; 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.