NPIMap

Organization Active NPI

Our Children's Homestead

  • Foster Care Agency
  • Rockford, IL
National Provider Identifier
1710315866
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
26699407 Issued in IL
Legal business name
OUR CHILDREN'S HOMESTEAD
Practice address
7210 E State St
Suite 210
Rockford, IL 61108-2622
Phone
(815) 316-7626
NPI assigned
Oct 29, 2013
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Marissa Allen
Title
Ceo
Phone
(630) 369-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 26699407 IL Primary

Addresses

Primary practice location

7210 E State St
Suite 210
Rockford, IL 61108-2622

Mailing address

7210 E State St
Suite 210
Rockford, IL 61108-2622
Phone (815) 316-7626

National Provider Directory

National Provider Directory
Tax ID family
Our Childrens Homestead5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7210 E State St
Ste 210
Rockford, IL 61108
Phone (815) 316-7626

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1710315866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 E STATE ST",
            "address_2": "SUITE 210",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082622",
            "telephone_number": "815-316-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 E STATE ST",
            "address_2": "SUITE 210",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082622",
            "telephone_number": "815-316-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR CHILDREN'S HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-369-0004"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "IL",
            "license": "26699407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

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