CATHOLIC SOCIAL SERVICES CARBONDALE (NPI# 1104156439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104156439 |
| Entity Type | Organization |
| Organization Name | CATHOLIC SOCIAL SERVICES CARBONDALE |
| Practice Address |
214 S University Ave Carbondale IL 62901-2925 |
| Practice Telephone | 6183510743 |
| Practice Fax Number | 6183510945 |
| Mailing Telephone | 6183510743 |
| Mailing Fax Number | 6183510945 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| Authorized Official Name | MR. GARY B SCHMITT (FINANCE DIRECTOR) |
| Authorized Official Telephone | 6186881127 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC SOCIAL SERVICES OF SOUTHERN ILLINOIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 003967-11 | IL | Agencies |
| Street Address |
214 S UNIVERSITY AVE |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-2925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942370051 | Judy A. Ashby | Counselor | 214 S University Ave, Carbondale, IL 62901-2925 | 2006-11-08 |
| 1598031700 | Christian Social Services of Illinois | Foster Care Agency | 214 S University Ave, Carbondale, IL 62901-2925 | 2012-04-02 |
| 1073842423 | Jennifer Ari Rose | Counselor | 214 S University Ave, Carbondale, IL 62901-2925 | 2009-12-14 |
| 1831365618 | Jean M Bernstein | Social Worker | 214 S University Ave, Carbondale, IL 62901-2925 | 2008-05-01 |
| 1659428845 | Christina Okpo Umana | Counselor | 214 S University Ave, Carbondale, IL 62901-2925 | 2007-01-03 |
| 1467519652 | Karen Ann Henderson | Counselor | 214 S University Ave, Carbondale, IL 62901-2925 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| 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 |
|---|---|---|---|---|
| 1598031700 | Christian Social Services of Illinois | Foster Care Agency | 214 S University Ave, Carbondale, IL 62901-2925 | 2012-04-02 |
| 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 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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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.