Active NPI
Janaston Management & Development Corp
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Chicago, IL
National Provider Identifier
1740516640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 946213
- Legal business name
- JANASTON MANAGEMENT & DEVELOPMENT CORP
- Practice address
- 4942 W Division St
Chicago, IL 60651-3158 - Phone
- (773) 261-0075
- Fax
- (773) 261-0084
- NPI assigned
- Oct 27, 2009
- 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
- Dr. Roland Edward Wesley, PH.D
- Title
- Ceo
- Phone
- (773) 261-0075
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 946213 | IL | Primary |
| Private Vehicle | 347C00000X | YESU | IL |
Addresses
Primary practice location
4942 W Division St
Chicago, IL 60651-3158
Mailing address
4942 W Division St
Chicago, IL 60651-3158
Phone (773) 261-0075
National Provider Directory
National Provider Directory- Tax ID family
- Janaston Management Development Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Chicago, IL
- NPI 1336582279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256601600000",
"number": "1740516640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4942 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606513158",
"telephone_number": "773-261-0075",
"fax_number": "773-261-0084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4942 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606513158",
"telephone_number": "773-261-0075",
"fax_number": "773-261-0084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANASTON MANAGEMENT & DEVELOPMENT CORP",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-27",
"status": "A",
"authorized_official_last_name": "WESLEY",
"authorized_official_first_name": "ROLAND",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-261-0075",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "IL",
"license": "946213",
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "IL",
"license": "YESU",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.