CENTER FOR SENIORS NPI 1407105208

NPI Information

NPI: 1407105208
Provider Name: CENTER FOR SENIORS
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
5320 N. KEDZIE AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 478-1245
Get Directions

CENTER FOR SENIORS is an adult day care clinic center in Chicago, IL. CENTER FOR SENIORS NPI is 1407105208. The provider is registered as an organization entity type.

The provider's business location address is:

5320 N. KEDZIE AVE
CHICAGO, IL
ZIP 60625-712
Phone: (773) 478-1245
Fax: (773) 478-4070

The provider's authorized official is Jae Kwan Ha .
The authorized official title is Executive Director and has the following contact phone number (773) 478-1245.

The enumeration date for this NPI number is 9/7/2012 and was last updated on 4/25/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care	ADS1313002	ILLINOIS	No
2	261QA0600X	Clinic/Center	Adult Day Care	ADS 1013007	ILLINOIS	No
3	261QA0600X	Clinic/Center	Adult Day Care	ADS 1012011	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========922	OTHER	ILLINOIS	MEDICARE WAVER
2	=========933	OTHER	ILLINOIS	MEDICARE II WAVER
3	=========923	OTHER	ILLINOIS	MEDICARE WAVER

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »