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CHRISTIAN SOCIAL SERVICES OF ILLINOIS NPI 1598031700


NPI Information

NPI: 1598031700
Provider Name: CHRISTIAN SOCIAL SERVICES OF ILLINOIS

Former Legal Business Name: CATHOLIC SOCIAL SERVICES OF SOUTHERN ILLINOIS, DIOCESE OF BELLEVILLE

Classification: Foster Care Agency - 253J00000X
Entity Type: Organization
Address:
214 S UNIVERSITY AVE
CARBONDALE, IL
ZIP 62901
Phone: (618) 351-0743
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CHRISTIAN SOCIAL SERVICES OF ILLINOIS is a foster care agency in Carbondale, IL. The provider is 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. CHRISTIAN SOCIAL SERVICES OF ILLINOIS NPI is 1598031700. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Catholic Social Services Of Southern Illinois, Diocese Of Belleville.

The provider's business location address is:

214 S UNIVERSITY AVE
CARBONDALE, IL
ZIP 62901-925
Phone: (618) 351-0743
Fax: (618) 351-0945

The provider's authorized official is Gary R Huelsmann .
The authorized official title is Executive Director and has the following contact phone number (618) 394-5900.

The enumeration date for this NPI number is 4/2/2012 and was last updated on 5/17/2012.


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
1253J00000XFoster Care Agency003976-12ILLINOISYes

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
11902973910MEDICAIDILLINOIS
21104156439MEDICAIDILLINOIS
31942527536OTHERILLINOISTYPE 2-ORGANIZATION
41275862120MEDICAIDILLINOIS

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: 5/5/2024

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