CARITAS (NPI# 1104059864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104059864 |
| Entity Type | Organization |
| Organization Name | CARITAS |
| Practice Address |
140 N Ashland Ave Chicago IL 60607-1802 |
| Mailing Address |
1301 W 22nd St Suite 800 Oak Brook IL 60523-2006 |
| Practice Telephone | 3128500050 |
| Practice Fax Number | 3128509095 |
| Mailing Telephone | 6305728228 |
| Mailing Fax Number | 6305720566 |
| Enumeration Date | 2009-08-28 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | JESSECA WATSON (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6305728228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | 07008 | IL | Residential Treatment Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 006 | 05 | |
| IL | 07008 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003368 | Caritas | Substance Abuse Rehabilitation Facility | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-11-03 |
| 1275150369 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1184241275 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1306463419 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1356968457 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1609493709 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1417574518 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1326665423 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1235307158 | Caritas | Community/Behavioral Health | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2008-02-13 |
| 1376680512 | Caritas | Community/Behavioral Health | 140 North Ashland Avenue, Chicago, IL 60607 | 2007-01-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARITAS | 1301 W 22nd St Ste 500, Oak Brook, IL 60523-2014 |
| Colorado Business Entities | CARITAS (2000) LLC | Caritas Island, 140 Wallacks Point, Stamford, CT 06902 |
| Oregon Corporations, Companies and Business Names | CARITAS ACQUISITIONS VII, LLC | 16688 Highway 99e, Woodburn, OR 97071 |
| System for Award Management (SAM) Entities | CARITAS ANTILLES | Battery Road, Castries, LC0401, LCA |
| Oklahoma Business Registrations | CARITAS APPAREL COMPANY | 1801 Aladdin St, Norman, OK 73072 |
| System for Award Management (SAM) Entities | CARITAS ARQUIOCESANA DEL CUSCO | Calle Carmen Bajo 206 Barrio San Blas, Cusco, CUSCO, PER |
| System for Award Management (SAM) Entities | CARITAS BANGLADESH | 2 Outer Circular Road, Shantibagh, Dhaka, , BGD |
| System for Award Management (SAM) Entities | CARITAS BENIN | Pk 16 Route De Porto-Novo, Djeffa, , BEN |
| System for Award Management (SAM) Entities | CARITAS BRASILEIRA REGIONAL MARANHAO | Rua Do Alecrim 343, Centro, Sao Luis, MA 65010-040, BRA |
| System for Award Management (SAM) Entities | CARITAS BRASILEIRA REGIONAL NE II | Rua Monte Castelo 176, Recife, PE 50050-310, BRA |
| Street Address |
140 N ASHLAND AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205979028 | Gloria J Mouzon | Family Medicine | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2007-02-14 |
| 1962003368 | Caritas | Substance Abuse Rehabilitation Facility | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-11-03 |
| 1356959340 | Pazlee Pegues | Social Worker | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-16 |
| 1992313944 | Latara L Sutton | Social Worker | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-15 |
| 1275150369 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1184241275 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1306463419 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1356968457 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1609493709 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| 1417574518 | Caritas | Clinic/Center | 140 N Ashland Ave, Chicago, IL 60607-1802 | 2020-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349237 | Portia Dowd | Registered Nurse | 140 N Ashland, Chicago, IL 60607 | 2019-10-30 |
| 1114577210 | Joseph Matthew Thiel | Emergency Medical Technician, Intermediate | 558 West De Koven, Chicago, IL 60607 | 2019-09-19 |
| 1215585757 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1034 West Lake St, Chicago, IL 60607 | 2019-08-28 |
| 1003462821 | Michael Marek Maka | Psychologist | 820 W. Jackson Blvd, Suite 515, Chicago, IL 60607 | 2019-08-16 |
| 1558922344 | Kellie Meyer | Speech-Language Pathologist | Eyas Landing West Loop, 1409 W. Carroll Ave, Chicago, IL 60607 | 2019-06-24 |
| 1811460108 | Corinna House | Social Worker | 932 W Washington, Chicago, IL 60607 | 2019-01-09 |
| 1962979518 | Louise Taussig Bush | Counselor | 1142 West Madison Street, Suite 406, Chicago, IL 60607 | 2018-10-31 |
| 1568941318 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1051 W Randolph, Chicago, IL 60607 | 2018-08-13 |
| 1851883425 | Alefiyah Zulfiqar Pishori | Psychologist | 1200 West Harrison St, Chicago, IL 60607 | 2018-05-30 |
| 1679062954 | Elizabeth R Rolston | Physical Therapist | 24 S Morgan St Ste 100, Chicago, IL 60607 | 2018-05-02 |
| Find all providers in zip 60607 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.