Provider Demographics
NPI:1033570114
Name:RANDOM ACT OF KINDNESS
Entity Type:Organization
Organization Name:RANDOM ACT OF KINDNESS
Other - Org Name:RAKDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAMIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:GENERAL STUDIES
Authorized Official - Phone:773-701-6681
Mailing Address - Street 1:11346 S PARNELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-4721
Mailing Address - Country:US
Mailing Address - Phone:773-701-6681
Mailing Address - Fax:773-701-6682
Practice Address - Street 1:11346 S PARNELL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60628-4721
Practice Address - Country:US
Practice Address - Phone:773-701-6681
Practice Address - Fax:773-701-6682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251COOOOX251C00000X
IL251C00000X251C00000X
IL347COOOOOX347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No347C00000XTransportation ServicesPrivate Vehicle