1982014486 NPI number — CARTER AID OPCO LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982014486 NPI number — CARTER AID OPCO LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARTER AID OPCO LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982014486
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
330 N WABASH AVE
Provider Second Line Business Mailing Address:
SUITE 3700
Provider Business Mailing Address City Name:
CHICAGO
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60611-3586
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-725-7000
Provider Business Mailing Address Fax Number:
312-332-5902

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1028 JOANN DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLAIR
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68008-2747
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-655-9942
Provider Business Practice Location Address Fax Number:
312-332-5431
Provider Enumeration Date:
05/06/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GUILL
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
Authorized Official Title or Position:
AUTHORIZED OFFICER
Authorized Official Telephone Number:
312-725-7000

Provider Taxonomy Codes

  • Taxonomy code: 310400000X , with the licence number:  ALF025 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)