Caritas Central Intake

LBN: Caritas
Caritas Central Intake is an health care organization with primary practice located at 140 North Ashland Avenue , Chicago IL 60607. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Caritas can be contacted via phone (312) 850-9411, or through Watson, Jesseca via phone (630) 572-8228.

Contact Information

Primary practice address
140 North Ashland Avenue Chicago IL 60607
Phone: (312) 850-9411
Fax: (312) 850-3288
Website:
Map and Directions
Authorized official contact:
Name: Watson, Jesseca
Phone: (630) 572-8228

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1376680512
LBN Legal business name Caritas
DBA Doing business as Caritas Central Intake
Authorized official Watson, Jesseca
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 30th, 2007
Last updated Feb 12th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376680512 NPPES
Illinois Other A-0554-0001-A ILLINOIS DEPARTMENT OF HUMAN SERVICES - SUPR
Illinois MEDICAID 023 ILLINOIS DEPARTMENT OF HUMAN SERVICES - SUPR

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