Active NPI
Henry Booth House
- Public Health or Welfare Agency
- Chicago, IL
National Provider Identifier
1811128697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- HENRY BOOTH HOUSE
- Practice address
- 2850 S Michigan Ave
Chicago, IL 60616-5018 - Phone
- (312) 949-2174
- Fax
- (312) 225-6324
- NPI assigned
- Jul 28, 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
- Mr. Scott Perkins
- Title
- President/Ceo
- Phone
- (312) 949-3609
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Public Health or Welfare Agency | 251K00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
2850 S Michigan Ave
Chicago, IL 60616-5018
Mailing address
2850 S Michigan Ave
Chicago, IL 60616-5018
Phone (312) 949-2174
National Provider Directory
National Provider Directory- Tax ID family
- Henry Booth House
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 1134654890
Locations
2850 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-1982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248739200000",
"number": "1811128697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606165018",
"telephone_number": "312-949-2174",
"fax_number": "312-225-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 S MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606165018",
"telephone_number": "312-949-2174",
"fax_number": "312-225-6324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY BOOTH HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-28",
"last_updated": "2009-07-28",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "312-949-3609",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"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 Jul 28, 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.