Organization Active NPI

Elim Christian Services

  • Developmentally Disabled Services Day Training Agency
  • Palos Heights, IL
National Provider Identifier
1841646825
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
529 Issued in IL
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

Updated by the provider on May 10, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.