NPIMap

Organization Active NPI

Ada S McKinley Community Services, Inc.

  • Case Management Agency
  • Chicago, IL
National Provider Identifier
1922573955
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ADA S MCKINLEY COMMUNITY SERVICES, INC.
Practice address
2715 W 63Rd St
Chicago, IL 60629-2305
Phone
(773) 918-6100
Fax
(773) 434-6756
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Ken Fries
Title
Sr Director Qa&C
Phone
(312) 385-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2715 W 63Rd St
Chicago, IL 60629-2305

Mailing address

1359 W Washington Blvd
Chicago, IL 60607-1905
Phone (312) 385-2000

National Provider Directory

National Provider Directory
Tax ID family
Ada S McKinley Community Services Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

2715 W 63rd St
Chicago, IL 60629
Phone (773) 918-6100

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1922573955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 W WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071905",
            "telephone_number": "312-385-2000",
            "fax_number": "312-554-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292305",
            "telephone_number": "773-918-6100",
            "fax_number": "773-434-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA S MCKINLEY COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "FRIES",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "SR DIRECTOR QA&C",
        "authorized_official_telephone_number": "312-385-2022"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "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 Jan 11, 2024; 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.