South Central Community Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTH CENTRAL COMMUNITY SERVICES, INC.

Practice address

8545 S Cottage Grove Ave
Chicago, IL 60619-6115

Phone

(773) 873-3000

Fax

(773) 873-9882

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Felicia Y Blasingame, ED.D.

Title

President/Ceo

Phone

(773) 483-0900

Specialties & licenses 1

Addresses

Tax ID family

South Central Community Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• South Central Community Services, Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1033389432
  NPD tax ID
• South Central Community Services, Inc.

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1336470392
  NPD tax ID

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1932384039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 S ELLIS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195509",
            "telephone_number": "773-873-3000",
            "fax_number": "773-873-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8545 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196115",
            "telephone_number": "773-873-3000",
            "fax_number": "773-873-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "BLASINGAME",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "773-483-0900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Marie Souris, D.M.D.
• Wesam Sourour, MD
• Jacqueline Rose Souter, AU.D.
• South Central Community Services, Inc.
• South Central Community Services, Inc.
• South Chicago Foot & Ankle Center, LTD
• South Chicago Lab Limited
• South Chicago Orthopedic Specialists, SC
• South Chicago Parents and Friends, Inc.
• South Chicago Physicial Medicine

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.