CARITAS NPI 1962003368

NPI Information

NPI: 1962003368
Provider Name: CARITAS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
140 N ASHLAND AVE
CHICAGO, IL
ZIP 60607
Phone: (312) 850-9411
Get Directions

CARITAS is a substance abuse rehabilitation facility in Chicago, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CARITAS NPI is 1962003368. The provider is registered as an organization entity type.

The provider's business location address is:

140 N ASHLAND AVE
CHICAGO, IL
ZIP 60607-802
Phone: (312) 850-9411
Fax: (312) 850-3288

The provider's authorized official is Jesseca Watson .
The authorized official title is Credentialing And Contracts Manager and has the following contact phone number (630) 572-8228.

The enumeration date for this NPI number is 11/3/2020 and was last updated on 11/3/2020.

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	324500000X	Substance Abuse Rehabilitation Facility				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	0004	MEDICAID	ILLINOIS

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

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 »