NPIMap

Organization Active NPI

Garden of Paryer Youth Center

  • Voluntary or Charitable Agency
  • Kankakee, IL
National Provider Identifier
1922383314
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
041-129-294 Issued in IL
Legal business name
GARDEN OF PARYER YOUTH CENTER
Practice address
657 E Court St
Kankakee, IL 60901-4055
Phone
(815) 933-2493
Fax
(815) 933-2494
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Mr. Michael Maloney
Title
Executive Director
Phone
(815) 933-2493

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 041-129-294 IL Primary
Voluntary or Charitable Agency 251V00000X 180-006-235 IL
Voluntary or Charitable Agency 251V00000X 180-0007-145 IL

Addresses

Primary practice location

657 E Court St
Kankakee, IL 60901-4055

Mailing address

657 E Court St
Kankakee, IL 60901-4055
Phone (815) 933-2493

National Provider Directory

National Provider Directory
Tax ID family
Garden of Prayer Youth Center4 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

657 E Court St
Kankakee, IL 60901
Phone (815) 933-2493

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1922383314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014055",
            "telephone_number": "815-933-2493",
            "fax_number": "815-933-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014055",
            "telephone_number": "815-933-2493",
            "fax_number": "815-933-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN OF PARYER YOUTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-933-2493",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": "041-129-294",
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": "180-006-235",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": "180-0007-145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.