Misericordia Home in Chicago - Intermediate Care Facility, Intellectual Disabilities

Misericordia Home - NPI 1003864844

Misericordia Home is a Intermediate Care Facility, Intellectual Disabilities in Chicago, Illinois. Misericordia Home practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Misericordia Home is 1003864844. The last update date is 2020-08-22.

Misericordia Home's current location address is 6300 N Ridge Ave, Chicago, Illinois. You can contact this provider via phone number 7739736300 and fax number 7737435439. The mailing address for Misericordia Home is 6300 N Ridge Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Misericordia Home
Address 6300 N Ridge Ave, Chicago, Illinois
Phone Number 7739736300
Fax Number 7737435439
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Tigges Denise
Telephone Number 7732733544

NPI Number Detail

NPI Number 1003864844
Provider Enumeration Date 2006-05-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6300 N Ridge Ave
City Chicago
State Illinois (IL)
Post Code 606601017
Phone Number 7739736300
Fax Number 7737435439

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 29876
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about Misericordia Home

What is the unique provider identifier assigned to Misericordia Home?

The Misericordia Home has been issued the NPI (National Provider Identifier) 1003864844 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Misericordia Home's facilities are geographically located?

The facilities of Misericordia Home are physically situated at the following location: 6300 N Ridge Ave, Chicago, IL, 606601017.

What is Misericordia Home's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Misericordia Home is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.

On what date did Misericordia Home receive its 1003864844 assignment from the Centers for Medicare & Medicaid Services?

The Misericordia Home was assigned its 1003864844 on 2006-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Misericordia Home's details last updated?

The information pertaining to the Misericordia Home, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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