Organization Active NPI

Ward House Supportive Services, Inc

  • Counselor
  • Chicago, IL
National Provider Identifier
1851576599
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WARD HOUSE SUPPORTIVE SERVICES, INC
Practice address
1049 W 87TH St
Chicago, IL 60620-3328
Phone
(773) 846-1589
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Mrs. Cynthia Ward, MPH
Title
Executive Director
Phone
(773) 846-1589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1049 W 87TH St
Chicago, IL 60620-3328

Mailing address

1049 W 87TH St
Chicago, IL 60620-3328
Phone (773) 846-1589

Other identifiers 1

IdentifierTypeStateIssuer
MEDICAID PENDINGOtherILMEDICAID PENDING

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1851576599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 W 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203328",
            "telephone_number": "773-846-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 W 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606203328",
            "telephone_number": "773-846-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARD HOUSE SUPPORTIVE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-846-1589",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PENDING",
            "identifier": "MEDICAID PENDING",
            "state": "IL"
        }
    ],
    "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 Dec 31, 2007; 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.