Active NPI
Elim Christian Services
- Developmentally Disabled Services Day Training Agency
- Palos Heights, IL
National Provider Identifier
1841646825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 529
- Legal business name
- ELIM CHRISTIAN SERVICES
- Practice address
- 13020 S Central Ave
Palos Heights, IL 60463-2410 - Phone
- (708) 389-0555
- NPI assigned
- May 10, 2016
- 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
- Brian Boss
- Title
- Director of Finance
- Phone
- (708) 389-0555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | 529 | IL | Primary |
Addresses
Primary practice location
13020 S Central Ave
Palos Heights, IL 60463-2410
Mailing address
13020 S Central Ave
Palos Heights, IL 60463-2410
Phone (708) 389-0555
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462838400000",
"number": "1841646825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13020 S CENTRAL AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604632410",
"telephone_number": "708-389-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13020 S CENTRAL AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604632410",
"telephone_number": "708-389-0555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIM CHRISTIAN SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A",
"authorized_official_last_name": "BOSS",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "708-389-0555"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "IL",
"license": "529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
- Kristen El-Amir, PA-C
- Elevate Care Palos Heights LLC (Elevate Care Palos Heights)
- Elevate Care Palos Heights LLC (Elevate Care Palos Heights)
- Ahmed H Elgamal, M.D.
- Emilia Margaret Elgeness, PT, DPT
- Monica R Ellis, MD
- Emergency Medical Associates of Palos, LTD.
- Ellie Engel
- Mary Therese Englehart, MS CCC/SLP
- Patricia J Englehart, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.