SOS CHILDREN'S VILLAGES ILLINOIS (NPI# 1932598893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932598893 |
| Entity Type | Organization |
| Organization Name | SOS CHILDREN'S VILLAGES ILLINOIS |
| Practice Address |
1200 W Roosevelt Rd Chicago IL 60608-1414 |
| Mailing Address |
216 W Jackson Blvd Suite 925 Chicago IL 60606-6909 |
| Practice Telephone | 3122431901 |
| Practice Fax Number | 3122433086 |
| Mailing Telephone | 3123728200 |
| Mailing Fax Number | 3123728202 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |
| Authorized Official Name | MRS. TITA YUTUC (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3123881919 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 198705 | IL | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477855039 | Sos Children's Villages Illinois | Foster Care Agency | 7600 S Parnell Ave, Sos Childrens Village, Chicago, IL 60620-1824 | 2010-12-02 |
| Street Address |
1200 W ROOSEVELT RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| 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 |
| 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 |
| 1497073241 | The Youth Campus | Foster Care Agency | 901 W Jackson Blvd, 5th Floor, Chicago, IL 60607-3023 | 2010-05-04 |
| 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.