Active NPI
Community Outreach Advocates Incorporated
- Homemaker
- Hammond, IN
National Provider Identifier
1710415757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 15-013746-1
- Legal business name
- COMMUNITY OUTREACH ADVOCATES INCORPORATED
- Practice address
- 3440 171St PL
Hammond, IN 46323-2807 - NPI assigned
- Jun 2, 2017
- Last updated
- Jun 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Pierre Gougis
- Title
- President
- Phone
- (888) 858-7372
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 15-013746-1 | IN | |
| Homemaker | 376J00000X | 15-013746-1 | IN | Primary |
Addresses
Primary practice location
3440 171St PL
Hammond, IN 46323-2807
Mailing address
279 Merrill Ave
Calumet City, IL 60409-1716
Phone (773) 209-1968
National Provider Directory
National Provider Directory- Tax ID family
- Community Outreach Advocates Incorporated
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Merrillville, IN
- NPI 1568251585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496707200000",
"number": "1710415757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 MERRILL AVE",
"city": "CALUMET CITY",
"state": "IL",
"postal_code": "604091716",
"telephone_number": "773-209-1968",
"fax_number": "888-858-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 171ST PL",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463232807"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY OUTREACH ADVOCATES INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-02",
"last_updated": "2017-06-06",
"status": "A",
"authorized_official_last_name": "GOUGIS",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "PIERRE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "888-858-7372"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "IN",
"license": "15-013746-1",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "IN",
"license": "15-013746-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, IN
- CNS Personal Service Agency LLC
- Oreeanna Tishone Collins, LCSW
- Community Healthnet Inc (Morton High School)
- Community Healthnet Inc
- Community Healthnet, Inc
- Comprehensive Surgical Services LLC
- Concentra Health Services, Inc.
- Connecticut General Life Insurance Company
- Eric T Cook, DO
- Olivia A Cooley, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.