NPIMap

Organization Active NPI

Outreach Youth & Family Services

  • Case Management Agency
  • Chicago, IL
National Provider Identifier
1841580016
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
60716579 Issued in IL
Legal business name
OUTREACH YOUTH & FAMILY SERVICES
Practice address
7041 S Halsted St
Chicago, IL 60621-1713
Phone
(773) 840-4497
Fax
(773) 905-1369
NPI assigned
Apr 8, 2011
Last updated
Apr 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Mr. Eddie J Phillips
Title
Executive Director
Phone
(773) 840-4497

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 60716579 IL Primary
Developmentally Disabled Services Day Training Agency 251C00000X 60716579 IL
Early Intervention Provider Agency 252Y00000X 60716579 IL

Addresses

Primary practice location

7041 S Halsted St
Chicago, IL 60621-1713

Mailing address

7041 S Halsted St
9443 So. Throop
Chicago, IL 60621-1713
Phone (773) 840-4497

Other names 1

  • Outreach Youth Services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Outreach Youth Family Services3 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

7041 S Halsted St
Chicago, IL 60621
Phone (773) 840-4497

7041 S Halsted St
#9443
Chicago, IL 60621

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1841580016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 S HALSTED ST",
            "address_2": "9443 SO. THROOP",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211713",
            "telephone_number": "773-840-4497",
            "fax_number": "773-905-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606211713",
            "telephone_number": "773-840-4497",
            "fax_number": "773-905-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-840-4497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IL",
            "license": "60716579",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "IL",
            "license": "60716579",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "60716579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach Youth Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 8, 2011; 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.