NPIMap

Organization Active NPI

Caritas

  • Substance Abuse Rehabilitation Facility
  • Chicago, IL
National Provider Identifier
1962003368
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CARITAS
Practice address
140 N Ashland Ave
Chicago, IL 60607-1802
Phone
(312) 850-9411
Fax
(312) 850-3288
NPI assigned
Nov 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Jesseca Watson
Title
Credentialing and Contracts Manager
Phone
(630) 572-8228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

140 N Ashland Ave
Chicago, IL 60607-1802

Mailing address

1301 W 22ND St Ste 500
Oak Brook, IL 60523-2014
Phone (630) 572-8228

Other identifiers 1

IdentifierTypeStateIssuer
0004MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Caritas12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1962003368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 22ND ST STE 500",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232014",
            "telephone_number": "630-572-8228",
            "fax_number": "630-572-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071802",
            "telephone_number": "312-850-9411",
            "fax_number": "312-850-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARITAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JESSECA",
        "authorized_official_title_or_position": "CREDENTIALING AND CONTRACTS MANAGER",
        "authorized_official_telephone_number": "630-572-8228"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004",
            "state": "IL"
        }
    ],
    "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 3, 2020; 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.