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ENGLEWOOD COMMUNITY OUTREACH
NPI 1205666096
Day Training/Habilitation Specialist in Evergreen Park, IL

Active since August 06, 2024
9531 S UTICA AVENUE, EVERGREEN PARK, IL 60805(872) 209-1298 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Englewood Community Outreach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENGLEWOOD COMMUNITY OUTREACH (NPI 1205666096) is a healthcare organization registered as a day training/habilitation specialist in Evergreen Park, Illinois and active in the NPI registry since August 2024. The organization lists Shanta Coppage, President, as its authorized official.

NPPES Registry Identity

NPI1205666096
Entity TypeOrganization
Primary Taxonomy373H00000X
Legal Business NameENGLEWOOD COMMUNITY OUTREACH
Location Address9531 S UTICA AVENUEEvergreen Park, IL 60805
Mailing Address9631 S Cicero Ave Ste 1356Oak Lawn, IL 60453-3137 · (872) 209-1298
Phone(872) 209-1298
Organization SubpartYes
Authorized OfficialShanta CoppagePresident · (872) 209-1298
Enumeration DateAugust 6, 2024
NPPES CertifiedJuly 29, 2024
✔ NPI 1205666096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
9531 S UTICA AVENUE, Evergreen Park, IL 60805
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Other Names 1

Former Legal Business NameEnglewood Community Outreach

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Englewood Community Outreach's NPI number?

The NPI number for Englewood Community Outreach is 1205666096. It was assigned to this organization in the NPPES registry on August 6, 2024.

Where is Englewood Community Outreach located?

Englewood Community Outreach is located at 9531 S Utica Avenue, Evergreen Park, IL 60805. The listed phone number is (872) 209-1298.

What is Englewood Community Outreach's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Englewood Community Outreach was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.