Organization Active NPI

The Children'S Place Home Health Association

  • Pediatric Registered Nurse
  • Chicago, IL
National Provider Identifier
1790710010
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
1009372 Issued in IL
Legal business name
THE CHILDREN'S PLACE HOME HEALTH ASSOCIATION
Practice address
3059 W. Augusta
Chicago, IL 60622
Phone
(773) 826-1230
Fax
(773) 826-0705
NPI assigned
Jul 12, 2006
Organization subpart
Yes
Parent organization
THE CHILDREN'S PLACE ASSOCIATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Mrs. Cathy Krieger
Title
President & Ceo
Phone
(312) 660-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0200X 1009372 IL Primary

Addresses

Primary practice location

3059 W. Augusta
Chicago, IL 60622

Mailing address

3059 W. Augusta
Chicago, IL 60622
Phone (773) 826-1230

Other identifiers 1

IdentifierTypeStateIssuer
1009372OtherILHOME HEALTH AGENCY SKILLED NURSING MEDICAL SOCIAL SERVICES

National Provider Directory

National Provider Directory
Part of
The Children'S Place Association

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1790710010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 W. AUGUSTA",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-826-1230",
            "fax_number": "773-826-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 W. AUGUSTA",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-826-1230",
            "fax_number": "773-826-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S PLACE HOME HEALTH ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE CHILDREN'S PLACE ASSOCIATION",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "312-660-3021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IL",
            "license": "1009372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY SKILLED NURSING MEDICAL SOCIAL SERVICES",
            "identifier": "1009372",
            "state": "IL"
        }
    ],
    "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 Feb 20, 2013; 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.