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KC CARE INC NPI 1669032520


NPI Information

NPI: 1669032520
Provider Name: KC CARE INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1525 E 53RD ST STE 428
CHICAGO, IL
ZIP 60615
Phone: (312) 801-6219
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KC CARE INC is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. KC CARE INC NPI is 1669032520. The provider is registered as an organization entity type.

The provider's business location address is:

1525 E 53RD ST STE 428
CHICAGO, IL
ZIP 60615-575
Phone: (312) 801-6219
Fax: (773) 326-0871

The provider's authorized official is Kenneth G Wilson .
The authorized official title is Director and has the following contact phone number (312) 801-6219.

The enumeration date for this NPI number is 6/13/2019 and was last updated on 6/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1361562877001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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