Organization Active NPI

Village of Hoffman Estates

  • Public Health or Welfare Agency
  • Hoffman Estates, IL
National Provider Identifier
1730216458
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
041220171 Issued in IL
Legal business name
VILLAGE OF HOFFMAN ESTATES
Practice address
1900 Hassell Rd
Hoffman Estates, IL 60169-6308
Phone
(847) 781-4850
Fax
(847) 781-4869
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Dr. Monica Saavedra, PSYD
Title
Director
Phone
(847) 781-4850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 041220171 IL Primary

Addresses

Primary practice location

1900 Hassell Rd
Hoffman Estates, IL 60169-6308

Mailing address

1900 Hassell Rd
Hoffman Estates, IL 60169-6308
Phone (847) 781-4850

Other names 1

  • Village of Hoffman Estates Health and Human Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120910000210 IL Part B Supplier - Mass Immunization (Roster Biller Only) 2961661004 Practice locations: Hoffman Estates, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Village of Hoffman Estates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1700 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 490-6892

5775 Beacon Pointe Dr
Hoffman Estates, IL 60192
Phone (847) 645-0552

1900 Hassell Rd
Hoffman Estates, IL 60169
Phone (847) 781-4850

1300 Westbury Dr
Hoffman Estates, IL 60192
Phone (847) 359-8445

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1730216458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HASSELL RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601696308",
            "telephone_number": "847-781-4850",
            "fax_number": "847-781-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HASSELL RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601696308",
            "telephone_number": "847-781-4850",
            "fax_number": "847-781-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF HOFFMAN ESTATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "SAAVEDRA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-781-4850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": "041220171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of Hoffman Estates Health and Human Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Village of Hoffman Estates Health and Human Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoffman Estates, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.