KC CARE INC


Address: 1525 E 53rd St Ste 428, Chicago, IL 60615-4575
Phone: 3128016219

KC CARE INC (NPI# 1669032520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669032520
Entity Type Organization
Organization Name KC CARE INC
Practice Address 1525 E 53rd St Ste 428
Chicago
IL 60615-4575
Practice Telephone 3128016219
Practice Fax Number 7733260871
Mailing Telephone 3128016219
Mailing Fax Number 7733260871
Enumeration Date 2019-06-13
Last Update Date 2019-06-13
Authorized Official Name KENNETH G WILSON (DIRECTOR)
Authorized Official Telephone 3128016219
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
IL 361562877001 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881755890 Kc Care Inc Social Worker 1525 E 53rd St, Suite 932, Chicago, IL 60615-4557 2006-12-13

Office Location

Street Address 1525 E 53RD ST STE 428
City CHICAGO
State IL
Zip Code 60615-4575

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

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1871124784 Nurture Therapy, LLC Community/Behavioral Health 3711 N Ravenswood Ave Ste 146, Chicago, IL 60613-5944 2020-01-29
1962032086 Bucktown Therapy Community/Behavioral Health 1820 W Webster Ave Ste 200, Chicago, IL 60614-2934 2020-01-16
1770121436 Guided Expressions LLC Community/Behavioral Health 6640 S University Ave Apt 2, Chicago, IL 60637-4320 2019-12-12
1063058279 Y Not Families Community/Behavioral Health 6427 S Ashland Ave, Chicago, IL 60636-2716 2019-11-22
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Competitor

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City CHICAGO
Zip Code 60615

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Dataset Information

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.

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