LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS (NPI# 1588993430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588993430 |
| Entity Type | Organization |
| Organization Name | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS |
| Other Organization Name | LUTHERAN CHILD & FAMILY SERVICES OF ILLINOIS |
| Practice Address |
620 N. Walnut St. Springfield IL 62702 |
| Mailing Address |
7620 Madison St River Forest IL 60305-2101 |
| Practice Telephone | 2175444631 |
| Practice Fax Number | 2175440412 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | MR. DOUGLAS E. CABLK (DIRECTOR OF DATA AND INFO SERVICES) |
| Authorized Official Telephone | 7087717180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 12998-11 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 2B05-CHR-025 | 05 |
| Other Name | Type Code |
|---|---|
| Lutheran Child & Family Services of Illinois | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356704241 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 329 W Lake St, Addison, IL 60101-2514 | 2016-03-30 |
| 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 |
| 1063767820 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 323 W Lake St, Addison, IL 60101-2514 | 2012-07-18 |
| 1497084347 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 618 S. 42nd St, Mt Vernon, IL 62864 | 2009-12-23 |
| 1942539895 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 1140 N Lamon Ave, 3rd Floor, Chicago, IL 60651-3103 | 2009-12-23 |
| 1760711618 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 6127 S University Ave, Chicago, IL 60637-2723 | 2009-12-23 |
| 1538498969 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 2715 N 27th St Ste 1, Decatur, IL 62526-5231 | 2009-12-14 |
| 1992768311 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 343 W Lake St, Addison, IL 60101-2514 | 2006-04-07 |
| 1871956789 | Lutheran Child and Family Services of Illinois | Residential Treatment Facility, Emotionally Disturbed Children | 329 W Lake St, Addison, IL 60101-2514 | 2016-03-30 |
| 1043675788 | Lutheran Child and Family Services of Illinois | Foster Care Agency | 4720 N Sheridan Rd, Chicago, IL 60640-5022 | 2015-12-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS | 1 Oakbrook Ter Ste 501, Oakbrook Terrace, IL 60181-4449 |
| Iowa Business Entities | LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS | One Oakbrook Terrace Suite 501, Oakbrook Terrace, IL 60181 |
| Street Address |
620 N. WALNUT ST. |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1972155638 | International Health Solutions, Inc | Foster Care Agency | 260 Cottage St, Springfield, MA 01104-3252 | 2019-07-12 |
| 1578013918 | Lutheran Child and Family Services | Foster Care Agency | 400 S Grand Ave W, Springfield, IL 62704-3718 | 2016-10-10 |
| 1952797045 | Viecare Corp | Foster Care Agency | 442 Chestnut St, Springfield, MA 01107-2008 | 2015-04-15 |
| 1699163261 | Unice Supportive Housing Inc | Foster Care Agency | 38 Forest Park Ave, Springfield, MA 01108-1606 | 2015-01-05 |
| 1821349705 | The Baby Fold, Inc. | Foster Care Agency | 5520 South Sixth St. Frontage Road, Suite 2200, Springfield, IL 62703-5759 | 2012-10-02 |
| 1497050652 | Family Service Center of Sangamon County | Foster Care Agency | 730 E. Vine St, Springfield, IL 62703 | 2011-01-20 |
| 1306161450 | Springfield Catholic Charities | Foster Care Agency | 120 S 11th St, Springfield, IL 62703-1006 | 2010-04-01 |
| 1073088837 | Metrocare of Springfield LLC | Foster Care Agency | 125 Liberty St Ste 404, Springfield, MA 01103-1109 | 2018-10-09 |
| 1295214179 | A Better Life Homecare LLC | Foster Care Agency | 20 Maple St Fl 2, Springfield, MA 01103-1951 | 2018-08-10 |
| 1598215998 | Ideal Caregivers of Massachusetts LLC | Foster Care Agency | 115 State St, Suit 502, Springfield, MA 01103-1984 | 2016-10-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on LUTHERAN CHILD AND FAMILY SERVICES OF ILLINOIS.
| 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.