CHINESE AMERICAN SERVICE LEAGUE, INC.; NPI #1902161490

Contact Information

CHINESE AMERICAN SERVICE LEAGUE, INC.

2141 S TAN CT
CHICAGO, IL 60616-1998

Phone: 312-791-0418
Fax: 312-791-0509
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Homemaker	376J00000X
Adolescent and Children Mental Health	261QM0855X
Adult Day Care	261QA0600X
Adult Mental Health	261QM0850X
Ambulance	341600000X	59	Ambulance Service Provider
Clinical	1041C0700X	80	Licensed Clinical Social Worker
Family	363LF0000X	50	Nurse Practitioner
In Home Supportive Care	253Z00000X
Non-emergency Medical Transport (VAN)	343900000X
Occupational Therapist	225X00000X	67	Occupational Therapist in Private Practice
Professional	101YP2500X

Indicates primary specialty

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NPI Profile & details for CHINESE AMERICAN SERVICE LEAGUE, INC.

NPI #	`1902161490`
LBN Legal business name	CHINESE AMERICAN SERVICE LEAGUE, INC.
Authorized official	JERED PRUITT - (CHIEF OPERATING OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/10/2012
Last updated	12/07/2023 - About 2 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CHINESE AMERICAN SERVICE LEAGUE, INC.

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NPI Profile & details for CHINESE AMERICAN SERVICE LEAGUE, INC.

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