OUTREACH YOUTH & FAMILY SERVICES
NPI 1063767010
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Chicago, IL
- Organization
- Respite Care
- Respite Care, Intellectual and/or Develo...
About OUTREACH YOUTH & FAMILY SERVICES
This page provides the complete NPI Profile along with additional information for Outreach Youth & Family Services, a provider established in Chicago, Illinois operating as a Respite Care, focusing in respite care, intellectual and/or developmental disabilities . The healthcare provider is registered in the NPI registry with number 1063767010 assigned on July 2012. The practitioner's primary taxonomy code is 385HR2060X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Outreach Youth & Family Services. The authorized official of this NPI record is Mr. Eddie J. Phillips (President & Executive Director)
- NPI
- 1063767010 Verify this NPI
- Provider Legal Name
- OUTREACH YOUTH & FAMILY SERVICES
- Other Organization Name
- OUTREACH YOUTH & FAMILY SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9443 S THROOP ST CHICAGO, IL 60620
- Location Phone
- (773) 840-4497
- Location Fax
- (773) 905-1369
- Mailing Address
- 9443 S THROOP ST CHICAGO, IL 60620
- Mailing Phone
- (773) 840-4497
- Mailing Fax
- (773) 905-1369
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-16-2012
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Respite Care Respite Care, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 385HR2060X
- Type
- Respite Care Facility
- License State
- IL
- Taxonomy Description
- A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 305R00000X | Managed Care Organizations | Preferred Provider Organization | (IL) |
| 2 | 385HR2055X | Respite Care Facility | Respite Care | (IL) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CHICAGO, IL 60620
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063767010, enumerated as an "organization" on July 16, 2012.
The provider is located at 9443 S THROOP ST CHICAGO, IL 60620 and the phone number is (773) 840-4497.
Respite Care with taxonomy code 385HR2060X and a focus in Respite Care, Intellectual and/or Developmental Disabilities.
