UCP SEGUIN GREATER CHICAGO (NPI# 1376900571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376900571 |
Entity Type | Organization |
Organization Name | UCP SEGUIN GREATER CHICAGO |
Practice Address |
7550 W. 183rd Tinley Park IL 60477 |
Mailing Address |
3100 S. Central Ave. Ciceto IL 60804 |
Practice Telephone | 7088633803 |
Mailing Telephone | 7088633803 |
Enumeration Date | 2016-01-20 |
Last Update Date | 2016-01-20 |
Authorized Official Name | DONNA ROBINSON (CLINICAL SERVICES ADMINISTRATOR) |
Authorized Official Telephone | 7088633803 |
Is Organization Subpart | Y |
Parent Organization Name | UCP SEGUIN GREATER CHICAGO |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253J00000X | Foster Care Agency | IL | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | #2B051P1166 | 05 |
Street Address |
7550 W. 183RD |
City | TINLEY PARK |
State | IL |
Zip Code | 60477 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
1902271703 | Michael Palencia | Student in an Organized Health Care Education/Training Program | 16536 Manchester St, Tinley Park, IL 60477 | 2015-12-04 |
Find all providers in zip 60477 |
Taxonomy Code | 253J00000X |
Grouping | Agencies |
Classification | Foster Care Agency |
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
1356885768 | Lutheran Child and Family Services | Foster Care Agency | 431 W Pershing Rd, Decatur, IL 62526-3275 | 2016-12-05 |
1578013918 | Lutheran Child and Family Services | Foster Care Agency | 400 S Grand Ave W, Springfield, IL 62704-3718 | 2016-10-10 |
1992152409 | Envision Unlimited Foster Care | Foster Care Agency | 1814 W 103rd St, Chicago, IL 60643-2817 | 2016-05-16 |
1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
1356704241 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 329 W Lake St, Addison, IL 60101-2514 | 2016-03-30 |
1932598893 | Sos Children's Villages Illinois | Foster Care Agency | 1200 W Roosevelt Rd, Chicago, IL 60608-1414 | 2015-01-15 |
1164820460 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 2175 Oneida St, Suite 200, Joliet, IL 60435-6560 | 2014-12-18 |
1902203540 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 150 N Schuyler Ave, Suites 200-202, Second Floor, Kankakee, IL 60901-3839 | 2014-11-25 |
Find all providers with the same taxonomy |
City | TINLEY PARK |
Zip Code | 60477 |
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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.