Provider Demographics
NPI:1659030633
Name:ACADEMY FOR CHILDREN
Entity Type:Organization
Organization Name:ACADEMY FOR CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIV DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAQCUELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:CURINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-903-0492
Mailing Address - Street 1:PO BOX 1817
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-7817
Mailing Address - Country:US
Mailing Address - Phone:708-903-0492
Mailing Address - Fax:
Practice Address - Street 1:19111 BURNHAM AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3886
Practice Address - Country:US
Practice Address - Phone:708-903-0492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services