NPIMap

Organization Active NPI

Eric Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chicago, IL
National Provider Identifier
1902173966
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
149003227 Issued in IL
Legal business name
ERIC FAMILY SERVICES, INC.
Practice address
1900 N Austin Ave
Chicago, IL 60639-5010
Phone
(773) 745-3742
Fax
(773) 745-0655
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Ms. Sandra Braine, MSW, LCSW
Title
Executive Director
Phone
(773) 745-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 149003227 IL Primary

Addresses

Primary practice location

1900 N Austin Ave
Chicago, IL 60639-5010

Mailing address

1900 N Austin Ave
Chicago, IL 60639-5010
Phone (773) 745-3742

National Provider Directory

National Provider Directory
Tax ID family
Eric Family Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1900 N Austin Ave
Chicago, IL 60639
Phone (773) 745-3742

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1902173966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N AUSTIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395010",
            "telephone_number": "773-745-3742",
            "fax_number": "773-745-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N AUSTIN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395010",
            "telephone_number": "773-745-3742",
            "fax_number": "773-745-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "BRAINE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-745-3742",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "149003227",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 18, 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.