Active NPI
United Methodist Homes and Services
- Clinical Social Worker
- Bellwood, IL
National Provider Identifier
1811533953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- UNITED METHODIST HOMES AND SERVICES
- Practice address
- 439 Bohland Ave
Bellwood, IL 60104 - Phone
- (708) 547-5600
- NPI assigned
- Nov 25, 2019
- 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
- Jim Zoros
- Title
- Cfo
- Phone
- (773) 596-2230
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary | ||
| Sports Physical Therapist | 2251S0007X | |||
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X |
Addresses
Primary practice location
439 Bohland Ave
Bellwood, IL 60104
Mailing address
1415 W. Foster Ave
Chicago, IL 60640
Phone (773) 769-5500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574640000000",
"number": "1811533953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 W. FOSTER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60640",
"telephone_number": "773-769-5500",
"fax_number": "773-596-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 BOHLAND AVE",
"city": "BELLWOOD",
"state": "IL",
"postal_code": "60104",
"telephone_number": "708-547-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED METHODIST HOMES AND SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A",
"authorized_official_last_name": "ZOROS",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "773-596-2230"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.