THE YOUTH CAMPUS (NPI# 1497073241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497073241 |
| Entity Type | Organization |
| Organization Name | THE YOUTH CAMPUS |
| Practice Address |
901 W Jackson Blvd 5th Floor Chicago IL 60607-3023 |
| Mailing Address |
733 N Prospect Ave Park Ridge IL 60068-2764 |
| Practice Telephone | 3122430533 |
| Practice Fax Number | 3122437610 |
| Mailing Telephone | 8478235161 |
| Mailing Fax Number | 8478239291 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | DR. JAMES J. GUIDI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8478235161 |
| Authorized Official Credential | PSY.D., CADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 141828 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801858444 | The Youth Campus | Residential Treatment Facility, Emotionally Disturbed Children | 733 N Prospect Ave, Park Ridge, IL 60068-2764 | 2006-04-06 |
| Street Address |
901 W JACKSON BLVD 5TH FLOOR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60607-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518218510 | Children's Home and Aid | Foster Care Agency | 901 W Jackson Blvd, 5th Floor, Chicago, IL 60607-3023 | 2012-10-01 |
| 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 | 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 |
|---|---|---|---|---|
| 1992152409 | Envision Unlimited Foster Care | Foster Care Agency | 1814 W 103rd St, Chicago, IL 60643-2817 | 2016-05-16 |
| 1932598893 | Sos Children's Villages Illinois | Foster Care Agency | 1200 W Roosevelt Rd, Chicago, IL 60608-1414 | 2015-01-15 |
| 1396009445 | Lawrence Hall Youth Services | Foster Care Agency | 8117 S Essex Ave, Chicago, IL 60617-1225 | 2012-07-03 |
| 1508147109 | Evangelical Child and Family Agency | Foster Care Agency | 2240 W Ogden Ave, Chicago, IL 60612-4881 | 2011-09-09 |
| 1740587898 | Centers for New Horizons, Inc | Foster Care Agency | 4305a S. Martin Luther King Jr. Drive, Chicago, IL 60653-3308 | 2011-02-24 |
| 1952607285 | Unity Parenting and Counseling, Inc. | Foster Care Agency | 600 W Cermak Rd Ste 300, Chicago, IL 60616-4880 | 2011-02-03 |
| 1477855039 | Sos Children's Villages Illinois | Foster Care Agency | 7600 S Parnell Ave, Sos Childrens Village, Chicago, IL 60620-1824 | 2010-12-02 |
| 1336440619 | Envision Unlimited Foster Care Program | Foster Care Agency | 5333 S Greenwood Ave, Chicago, IL 60615-4303 | 2010-11-03 |
| 1508188723 | Chicago Child Care Society | Foster Care Agency | 5467 S University Ave, Chicago, IL 60615-5114 | 2010-02-16 |
| 1144550948 | Kaleidoscope Inc. | Foster Care Agency | 1340 S. Damen Avenue, Mezzanine, Chicago, IL 60608-1190 | 2009-12-30 |
| 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.