NPIMap

Organization Active NPI

Catholic Charities of the Diocese of Peoria

  • Community/Behavioral Health Agency
  • Peoria, IL
National Provider Identifier
1891942785
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA
Practice address
419 NE Madison Ave
Peoria, IL 61603-3719
Phone
(309) 636-8012
Fax
(309) 674-1664
NPI assigned
Aug 21, 2008
Last updated
Jan 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Mrs. Patricia Fox
Title
Executive Director
Phone
(309) 636-8012

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X IL
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

419 NE Madison Ave
Peoria, IL 61603-3719

Mailing address

419 NE Madison Ave
Peoria, IL 61603-3719
Phone (309) 636-8012

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Diocese of Peoria14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

419 NE Madison Ave
Peoria, IL 61603
Phone (309) 636-8012

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1891942785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 NE MADISON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033719",
            "telephone_number": "309-636-8012",
            "fax_number": "309-674-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 NE MADISON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033719",
            "telephone_number": "309-636-8012",
            "fax_number": "309-674-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF PEORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "309-636-8012",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.