NPIMap

Organization Active NPI

Eric Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Chicago, IL
National Provider Identifier
1992054498
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
149015143 Issued in IL
Legal business name
ERIC FAMILY SERVICES, INC.
Practice address
4452 W Thomas St
Chicago, IL 60651-3406
Phone
(773) 384-9755
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Ms. Evanee Neville
Title
Executive Director
Phone
(773) 745-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 149015143 IL Primary

Addresses

Primary practice location

4452 W Thomas St
Chicago, IL 60651-3406

Mailing address

1900 N Austin Ave # 205
Chicago, IL 60639-5010
Phone (773) 745-3742

Other names 1

  • ERIC Group Home Other name

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
#205
Chicago, IL 60639

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1992054498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N AUSTIN AVE # 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395010",
            "telephone_number": "773-745-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 W THOMAS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513406",
            "telephone_number": "773-384-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "NEVILLE",
        "authorized_official_first_name": "EVANEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-745-3742",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": "149015143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERIC Group Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 30, 2012; 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.